Organization
FROEDTERT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY NEWMAN (VP FINANCE)
(414) 777-7963
Entity
Organization
Contact information
Practice address
9333 W LINCOLN AVE, WEST ALLIS, WI 53227-2303
(414) 286-5079
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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