# FROEDTERT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FROEDTERT AND THE MEDICAL COLLEGE OF WI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245013572
- **Legal business name:** FROEDTERT AND THE MEDICAL COLLEGE OF WI
- **Authorized official:** BLAINE JOHN O'CONNELL (CFO)
- **Authorized official phone:** (414) 805-4291

## Contact information

- **Practice address:** 841 N BROADWAY, MILWAUKEE, WI 53202-3640
- **Practice address phone:** (414) 286-5079
- **Mailing address:** W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2023
- **Last updated:** 08/18/2023