OrganizationActive
Froedtert & the Medical College of Wisconsin Community Physicians
NPI 1780142992 · Non-Pharmacy Dispensing Site · Mequon, WI
Provider details
- NPI number
- 1780142992
- 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 of Finance(414) 777-7963
Specialties & taxonomies
Suppliers
Practice location
11040 N Range Line Rd
Mequon, WI 53092-4930
Phone: (262) 253-5230
Approximate (ZIP-level) locationGet directions
Mailing address
11040 N Range Line Rd
Mequon, WI 53092-4930
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.