# FROEDTERT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205355500
- **Authorized official:** MRS. ANGELA MONTOTO PA (PA)
- **Authorized official phone:** (414) 777-3463

## Contact information

- **Practice address:** 4850 S 60TH ST, GREENFIELD, WI 53220-4616
- **Practice address phone:** (414) 777-3463
- **Mailing address:** W129N7055 NORTHFIELD DRIVE, MENOMONEE FALLS, WI 53051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 06/16/2018