Organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Active
Parent organization
FROEDTERT HEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT HEALTH, INC.
Authorized official
AMIR ABBAS GHAFERI MD (PRESIDENT & CEO)
(734) 660-4939
Entity
Organization
Contact information
Practice address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
52D0388485
WI
291U00000X
Clinical Medical Laboratory
52D0678401
WI
291U00000X
Clinical Medical Laboratory
52D2066480
WI
291U00000X
Clinical Medical Laboratory
52D2096793
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/02/2010
Last updated
01/28/2026
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