OrganizationActive
Froedtert & Medical College of Wi Community Physicians
NPI 1720604044 · Non-Pharmacy Dispensing Site · West Bend, WI
Provider details
- NPI number
- 1720604044
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Froedtert & Medical College of Wi Community Physicians
- Organization subpart
- Yes
- Authorized official
- Randall Newman, Vp Finance(414) 777-7963
Specialties & taxonomies
Suppliers
Practice location
1700 Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 253-5230
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Paradise Dr
West Bend, WI 53095-9795
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.