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
13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
(414) 302-5400
(414) 302-5495
Mailing address
13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
(414) 302-5400
(414) 302-5495
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013860014
DME
WI
Enumeration date
10/18/2006
Last updated
09/11/2025
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