NPI | 1073273215 |
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Doing Business As | FROEDTERT & MCW COMMUNITY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | BLAINE JOHN O'CONNELL CFO 414-805-4291 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2021-12-29 |
Last Update Date | 2021-12-29 |