OrganizationActive
Froedtert & the Medical College of Wisconsin Community Physicians Inc
NPI 1477188100 · Non-Pharmacy Dispensing Site · Milwaukee, WI
Provider details
- NPI number
- 1477188100
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Froedtert & the Medical College of Wisconsin Community Physicians
- Organization subpart
- Yes
- Authorized official
- Randall Newman, Vp Finance(414) 777-7963
Specialties & taxonomies
Suppliers
Practice location
635 S 28th St
Milwaukee, WI 53215-1201
Phone: (414) 615-1229
Approximate (ZIP-level) locationGet directions
Mailing address
635 S 28th St
Milwaukee, WI 53215-1201
Other names (DBA / former)
- Doing business as
- Hatco Workplace Clinic
Registry dates
- Enumerated
- 2020-03-03
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.