Organization

Wheaton Franciscan Medical Group

Legal Business Name

Wheaton Franciscan Medical Group

NPI Number

1306927033

NPI Type

Organization

Enumeration Date

10/18/2006

Contact
Information

Purpose

Mailing
Location

Address

201 N MAYFAIR RD FL 2
201 N MAYFAIR RD FL 2

City

Wauwatosa
Wauwatosa

State

WI
WI

Postal Code

53226-4216
53226-4216

Country

US
US

Telephone Number

(414) 771-8228
(414) 771-8228

Authorized Official

Name

Larry Wade

Title or Position

DIRECTOR OF FINANCE

Telephone Number

(414) 465-3000

Identifiers

Identifier

1013860001

Identifier State

WI

Identifier Issuer

DME

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address