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
5408 W BURLEIGH ST, MILWAUKEE, WI 53210-1624
(414) 445-6520
(414) 445-6875
Mailing address
5408 W BURLEIGH ST, MILWAUKEE, WI 53210-1624
(414) 445-6520
(414) 445-6875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013860018
DME
WI
Enumeration date
10/19/2006
Last updated
09/11/2025
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