| NPI | 1558305284 |
|---|---|
| Doing Business As | FROEDTERT SOUTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS J KELLEY Vice President & CFO 262-577-8113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-15 |