# FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FROEDTERT HEALTH, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568787448
- **Legal business name:** FROEDTERT HEALTH, INC.
- **Authorized official:** AMIR ABBAS GHAFERI MD (PRESIDENT & CEO)
- **Authorized official phone:** (734) 660-4939

## Contact information

- **Practice address:** W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
- **Practice address phone:** (262) 255-2500
- **Mailing address:** N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | 52D0388485 | WI | — |
| 291U00000X | Clinical Medical Laboratory | 52D0678401 | WI | — |
| 291U00000X | Clinical Medical Laboratory | 52D2066480 | WI | — |
| 291U00000X | Clinical Medical Laboratory | 52D2096793 | WI | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/02/2010
- **Last updated:** 01/28/2026