Organization · Type 2 NPI

Froedtert & the Medical College of Wisconsin Community Physicians

Non-Pharmacy Dispensing Site · Mequon, WI

NPI number 1780142992 Active

Practice location

11040 N Range Line Rd
Mequon, WI 53092-4930

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

About NPI 1780142992

Froedtert & the Medical College of Wisconsin Community Physicians's National Provider Identifier is 1780142992, issued on Mar 6, 2019. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Mequon, WI. The record was last updated on Mar 6, 2019.