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Organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC.
Active
Organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC.
Active
Other names
Workforce Health
Organization subpart
No
Provider details
NPI number
Authorized official
BARBRA FAGAN (DIRECTOR BUSINESS DEVELOPMENT)
(262) 253-5105
Entity
Organization
Contact information
Practice address
7725 W NORTH AVE, WAUWATOSA, WI 53213-1720
(414) 777-3406
Mailing address
W126N7338 FLINT DR, MENOMONEE FALLS, WI 53051-4532
(262) 253-5105
(262) 253-5152
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
05/10/2016
Last updated
07/20/2016
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