FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC. NPI 1649626540

NPI Information

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC. is a non pharmacy dispensing site in Wauwatosa, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC. NPI is 1649626540. The provider is registered as an organization entity type.
The provider Is Doing Business As Workforce Health.

The provider's business location address is:

7725 W NORTH AVE
WAUWATOSA, WI
ZIP 53213-720
Phone: (414) 777-3406

The provider's authorized official is Barbra Fagan .
The authorized official title is Director Business Development and has the following contact phone number (262) 253-5105.

The CLIA number assigned to this NPI record is 52D1016912 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 7/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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