Organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
Active
Organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR ABBAS GHAFERI MD (PRESIDENT & CEO)
(734) 660-4939
Entity
Organization
Contact information
Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
(262) 334-5321
Mailing address
N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490
(414) 777-0417
(414) 777-0096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
03/02/2026
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