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
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-2483
Mailing address
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-2483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
213E00000X
Podiatrist
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013860001
DME
WI
Enumeration date
10/18/2006
Last updated
09/11/2025
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