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Froedtert & The Medical College Of Wisconsin Community Physicians
Non-Pharmacy Dispensing Site in Mequon, Wisconsin
NPI 1780142992

Froedtert & The Medical College Of Wisconsin Community Physicians is a Non-Pharmacy Dispensing Site based in Mequon, WI. Froedtert & The Medical College Of Wisconsin Community Physicians practices in Mequon, WI. The NPI Number for Froedtert & The Medical College Of Wisconsin Community Physicians is 1780142992 and holds a License No. (Wisconsin).

The current practice location address for Froedtert & The Medical College Of Wisconsin Community Physicians is 11040 N Range Line Rd, Mequon, WI and can be reached out via phone at 262-253-5230.

Location: 11040 N Range Line Rd, Mequon, WI, 53092-4930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780142992
Provider Name
Froedtert & The Medical College Of Wisconsin Community Physicians
Credential
Provider Entity Type
Organization
Address
11040 N Range Line Rd, Mequon, WI, 53092-4930
Phone Number
262-253-5230
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11040 N Range Line Rd
City
Mequon
State
Wisconsin
Zip
53092-4930
Phone Number
262-253-5230
Fax Number
person
Provider Business Mailing Address Details
Address
11040 N Range Line Rd
City
Mequon
State
Wisconsin
Zip
53092-4930
Phone Number
262-253-5230
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
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.)
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