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

Charlotte Formeller

Individual provider Hospitalist Physician · NPI 1487210076

Charlotte Formeller is a Hospitalist Physician in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 337-7050
Fax: (414) 337-7020
Show map & directions

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

Additional practice locations (1)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-5800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 76538 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 76538 (WI)

Record details

NPI number1487210076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address9000 W Wisconsin Avenue, Milwaukee, WI 53226-4874

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