Organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Active
Organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR ABBAS GHAFERI MD (PRESIDENT & CEO)
(734) 660-4939
Entity
Organization
Contact information
Practice address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
Mailing address
N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490
(414) 777-0417
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/19/2024
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