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

Froedtert & the Medical College of Wisconsin Community Physicians

Organization Non-Pharmacy Dispensing Site · NPI 1780142992

Froedtert & the Medical College of Wisconsin Community Physicians is a Non-Pharmacy Dispensing Site in Mequon, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

11040 N Range Line Rd
Mequon, WI 53092-4930
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 number1780142992
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFroedtert & the Medical College of Wisconsin Community Physicians
Authorized official Randall Newman — Vp Of Finance · (414) 777-7963
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019
Mailing address11040 N Range Line Rd, Mequon, WI 53092-4930