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Organization
WHEATON FRANCISCAN MEDICAL GROUP
Active
Organization
WHEATON FRANCISCAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WADE (DIRECTOR OF FINANCE)
(414) 465-3000
Entity
Organization
Contact information
Practice address
19475 W NORTH AVE, SUITE 305, BROOKFIELD, WI 53045-4199
(262) 780-4070
(262) 780-4050
Mailing address
19475 W NORTH AVE, SUITE 305, BROOKFIELD, WI 53045-4199
(262) 780-4070
(262) 780-4050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013860011
DME
WI
Enumeration date
10/18/2006
Last updated
09/11/2025
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