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
902 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2118
(414) 762-2120
(414) 762-7633
Mailing address
902 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2118
(414) 762-2120
(414) 762-7633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013860012
DME
WI
Enumeration date
10/18/2006
Last updated
09/11/2025
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