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Froedtert South, Inc.
Multi-Specialty Clinic/Center in Kenosha, Wisconsin
NPI 1558305284

Froedtert South, Inc. is a Multi-Specialty Clinic/Center based in Kenosha, WI and is specialized in Multi-Specialty. Froedtert South, Inc. practices in Kenosha, WI. The NPI Number for Froedtert South, Inc. is 1558305284 and holds a License No. (Wisconsin).

The current practice location address for Froedtert South, Inc. is 6308 8Th Ave, Kenosha, WI and can be reached out via phone at 262-656-2718. You can also correspond with Froedtert South, Inc. through the mailing address at PO BOX 130, KENOSHA, WI - 53141-0130 (mailing address contact number: 262-656-2930).

Location: 6308 8Th Ave, Kenosha, WI, 53141-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558305284
Provider Name
Froedtert South, Inc.
Credential
Provider Entity Type
Organization
Address
6308 8Th Ave, Kenosha, WI, 53141-0130
Phone Number
262-656-2718
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32815500 05 WI
CR0320 01 WI MEDICARE RR
213742 01 IL MEDICARE
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143
Phone Number
262-656-2718
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 130
City
Kenosha
State
Wisconsin
Zip
53141-0130
Phone Number
262-656-2930
Fax Number
262-656-2749
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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