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Organization
FROEDTERT HEALTH
Active
Organization
FROEDTERT HEALTH
Active
Parent organization
FROEDTERT HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT HEALTH
Authorized official
BLAINE JOHN O'CONNELL (VP FINANCE)
(414) 805-4291
Entity
Organization
Contact information
Practice address
432 E WASHINGTON ST, WEST BEND, WI 53095-2530
(414) 777-3462
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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