Organization
FROEDTERT HEALTH
Active
Parent organization
FROEDTERT AND THE MEDICAL COLLEGE OF WI
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT AND THE MEDICAL COLLEGE OF WI
Authorized official
BLAINE JOHN O'CONNELL (CFO)
(414) 805-4291
Entity
Organization
Contact information
Practice address
841 N BROADWAY, MILWAUKEE, WI 53202-3640
(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
08/18/2023
Last updated
08/18/2023
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