Organization
FROEDTERT HEALTH
Active
Parent organization
FROEDTERT HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT HEALTH
Authorized official
BLAINE JOHN O'CONNELL (VP FINANCE)
(414) 805-4291
Entity
Organization
Contact information
Practice address
432 E WASHINGTON ST, WEST BEND, WI 53095-2530
(414) 777-3462
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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