Organization · Type 2 NPI

Froedtert & the Medical College of Wisconsin Community Physicians

Non-Pharmacy Dispensing Site · Milwaukee, WI

NPI number 1801373378 Active

Practice location

1721 W Canal St
Milwaukee, WI 53233

Call (414) 454-8480 Map

Mailing address

W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None 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.)

Other non-pharmacy dispensing site providers in Milwaukee

See all in Milwaukee →

NPI record

NPI: 1801373378
Entity type: Organization (Type 2)
Issued: Jul 26, 2018
Last updated: Jul 26, 2018
Status: Active
Subpart: Yes of Froedtert & the Medical College of Wisconsin Community Physicians

Other names

<unavail>
Potawatomi Workplace Clinic · doing business as

Authorized official

Randall Newman
VP Finance
(414) 777-7963

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1801373378

Froedtert & the Medical College of Wisconsin Community Physicians's National Provider Identifier is 1801373378, issued on Jul 26, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 26, 2018.