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Organization

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC

Active
Other names
Froedtert Physician Partners, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
AMIR ABBAS GHAFERI MD (PRESIDENT & CEO)
(734) 660-4939
Entity
Organization

Contact information

Practice address
W225N16711 CEDAR PARK CT, JACKSON, WI 53037-9222
(262) 677-1101
(262) 677-0121
Mailing address
WOODLAND PRIME 400 SUITE 103, N74 W12501 LEATHERWOOD COURT, 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
05/31/2024
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