OrganizationActive
Wheaton Franciscan Medical Group
NPI 1073694618 · Sports Medicine (Internal Medicine) Physician · Brookfield, WI
Provider details
- NPI number
- 1073694618
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Wade, Director of Finance(414) 465-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone: (414) 302-5400
Fax: (414) 302-5495
Approximate (ZIP-level) locationGet directions
Mailing address
13950 W Capitol Dr
Brookfield, WI 53005-2441
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.