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FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC NPI 1811335334


NPI Information

NPI: 1811335334
Provider Name: FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC

Doing Business As: KEWASKUM CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1701 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040
Phone: (262) 626-4616
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FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC is a durable medical equipment medical supplies in Kewaskum, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC NPI is 1811335334. The provider is registered as an organization entity type.
The provider Is Doing Business As Kewaskum Clinic.

The provider's business location address is:

1701 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040-129
Phone: (262) 626-4616
Fax: (262) 626-6890

The provider's authorized official is Amir Abbas Ghaferi .
The authorized official title is President & Ceo and has the following contact phone number (734) 660-4939.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 10/3/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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