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General NPI Number Information
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NPI Number | 1255334173
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Entity Type | Organization
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Legal Business Name | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 9200 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-3000
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Fax | 414-805-7790
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Provider Business Mailing Address
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Address Line | N74W12501 LEATHERWOOD CT
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-4490
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Country | US
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Telephone | 414-777-0417
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Fax | 414-777-0096
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUSTIN REEDER
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Credential |
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Telephone | 414-805-2915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 232; 279
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License Number State | WI
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