Froedtert & the Medical College of Wisconsin Community Physicians
Organization Active NPI Non-Pharmacy Dispensing Site · Greenfield, WI
NPI 1992284087 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1992284087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
- Practice address
- 4859 South 60TH Street
Greenfield, WI 53220 - Phone
- (414) 777-3463
- Fax
- (414) 454-8455
- NPI assigned
- Aug 9, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Authorized official
- Name
- Randall Newman
- Title
- VP Finance
- Phone
- (414) 777-7963
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Froedtert Med Coll of Wi
- Part of
- Froedtert Med Coll of Wi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
4859 South 60TH Street
Greenfield, WI 53220
Mailing address
4859 South 60TH Street
Greenfield, WI 53220
Phone (414) 777-3463
Other names
- School District of Greenfield Workplace Clinic
Other providers in Greenfield, WI
- Amy Elizabeth Freeman
- Fresenius Medical Care Midwest Dialysis, LLC
- Fresh Coast Dental LLC
- Allan W Frey
- Kaylene Marie Frey
- Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
- Froedtert Health
- Charlene L. Gaebler-Uhing
- Linda Galkowski
- Frank J Gallo
All providers in Greenfield, WI · Non-Pharmacy Dispensing Site in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.