Organization · Type 2 NPI

Froedtert & the Medical College of Wisconsin Community Physicians

Non-Pharmacy Dispensing Site · Greenfield, WI

NPI number 1992284087 Active

Practice location

4859 South 60th Street
Greenfield, WI 53220

Fax (414) 454-8455

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 Greenfield

Froedtert HealthNon-Pharmacy Dispensing Site Greenfield, WI NPI 1205355500

See all in Greenfield →

NPI record

NPI: 1992284087
Entity type: Organization (Type 2)
Issued: Aug 9, 2018
Last updated: Aug 9, 2018
Status: Active
Subpart: Yes of Froedtert & the Medical College of Wisconsin Community Physicians

Other names

<unavail>
School District of Greenfield Workplace Clinic · doing business as
School District of Greenfield Workplace Clinic · doing business as

Authorized official

Randall Newman
VP Finance
(414) 777-7963

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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.

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About NPI 1992284087

Froedtert & the Medical College of Wisconsin Community Physicians's National Provider Identifier is 1992284087, issued on Aug 9, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Greenfield, WI. The record was last updated on Aug 9, 2018.