Organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Active
Parent organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Other names
Potawatomi Workplace Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Authorized official
RANDALL NEWMAN (VP FINANCE)
(414) 777-7963
Entity
Organization
Contact information
Practice address
1721 W CANAL ST, MILWAUKEE, WI 53233
(414) 454-8480
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5102
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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