NPI 1073273215
Froedtert Health
Practice location
- Address
- 1650 S 41st St, Manitowoc, WI 54220-7316
- Phone
- (920) 476-6232
Authorised official
- Name
- Blaine John O'Connell
- Title
- Cfo
- Phone
- (414) 805-4291
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1073273215
- Entity type
- Organization
- NPI issued
- 29 Dec 2021
- Record last updated
- 29 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.