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1841005923 NPI number — FROEDTERT HEALTH

NPI Number: 1841005923
Health Care Provider/Practitioner: FROEDTERT HEALTH

Information about “1841005923” NPI (FROEDTERT HEALTH) exists in 1841005923 in HTML format HTML  |  1841005923 in plain Text format TXT  |  1841005923 in PDF (Portable Document Format) PDF  |  1841005923 in an XML format XML  formats.

NPI Number : 1841005923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841005923",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS",
    "ParentOrgTIN": null,
    "OrgName": "FROEDTERT HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "W129N7055 NORTHFIELD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MENOMONEE FALLS",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53051-0538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3301 W CANAL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53208-4137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-982-6030",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2025",
    "LastUpdateDate": "02/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PALMSTEIN",
    "AuthorizedOfficialFirstName": "AMANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF FINANCE",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "414-777-7967",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332900000X",
        "TaxonomyName": "Non-Pharmacy Dispensing Site",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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