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Organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN PERHACH (BUSINESS MANAGER)
(262) 532-5163
Entity
Organization

Contact information

Practice address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 805-6531
(414) 805-6513
Mailing address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 805-6531
(414) 805-6513

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
9228-42
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2142336
PK
Enumeration date
10/03/2013
Last updated
10/18/2019
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