Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Froedtert & Medical College of Wi Community Physicians

Organization Non-Pharmacy Dispensing Site · NPI 1720604044

Froedtert & Medical College of Wi Community Physicians is a Non-Pharmacy Dispensing Site in West Bend, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1700 Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 253-5230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1720604044
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFroedtert & Medical College of Wi Community Physicians
Authorized official Randall Newman — Vp Finance · (414) 777-7963
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020
Mailing address1700 Paradise Dr, West Bend, WI 53095-9795

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