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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS

Active Organization

Non-Pharmacy Dispensing Site · MEQUON, WI

Registration Details

NPI Number
1780142992
Provider Type
Organization
NPI Issued
Mar 6, 2019 (7.1290567291154 yrs)
Last Updated
Mar 6, 2019

Practice Information

Address
11040 N RANGE LINE RD
MEQUON, WI, 530924930
Browse WI providers · Browse ZIP 53092
Phone
2622535230
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.