OrganizationActive
Froedtert Health
NPI 1073273215 · Non-Pharmacy Dispensing Site · Manitowoc, WI
Provider details
- NPI number
- 1073273215
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Froedtert Health
- Organization subpart
- Yes
- Authorized official
- Blaine O'Connell, Cfo(414) 805-4291
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1650 S 41st St
Manitowoc, WI 54220-7316
Phone: (920) 476-6232
Street-level locationGet directions
Mailing address
1650 S 41st St
Manitowoc, WI 54220-7316
Other names (DBA / former)
- Doing business as
- Froedtert & Mcw Community Physicians
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.