FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
NPI 1780142992
Non-Pharmacy Dispensing Site in Mequon, WI

Active since March 06, 2019
11040 N RANGE LINE RD, MEQUON, WI 53092(262) 253-5230 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Froedtert & The Medical College Of Wisconsin Community Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS (NPI 1780142992) is a healthcare organization registered as a non-pharmacy dispensing site in Mequon, Wisconsin and active in the NPI registry since March 2019. The organization lists Randall Newman, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1780142992
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS
Location Address11040 N RANGE LINE RDMequon, WI 53092-4930
Mailing Address11040 N Range Line RdMequon, WI 53092-4930 · (262) 253-5230
Organization SubpartYes
Authorized OfficialRandall NewmanVp Of Finance · (414) 777-7963
Enumeration DateMarch 6, 2019
NPI 1780142992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

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.)

11040 N RANGE LINE RD, Mequon, WI 53092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Froedtert & The Medical College Of Wisconsin Community Physicians's NPI number?

The NPI number for Froedtert & The Medical College Of Wisconsin Community Physicians is 1780142992. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Froedtert & The Medical College Of Wisconsin Community Physicians located?

Froedtert & The Medical College Of Wisconsin Community Physicians is located at 11040 N Range Line Rd, Mequon, WI 53092. The listed phone number is (262) 253-5230.

What is Froedtert & The Medical College Of Wisconsin Community Physicians's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Froedtert & The Medical College Of Wisconsin Community Physicians was last updated on March 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.