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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
19475 W NORTH AVE, SUITE 305, BROOKFIELD, WI 53045-4199
(262) 780-4070
(262) 780-4050
Mailing address
19475 W NORTH AVE, SUITE 305, BROOKFIELD, WI 53045-4199
(262) 780-4070
(262) 780-4050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013860011
DME
WI
Enumeration date
10/18/2006
Last updated
09/11/2025
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