Wheaton Franciscan Medical Group
Legal Business Name
Wheaton Franciscan Medical Group
NPI Number
1306927033
NPI Type
Organization
Enumeration Date
10/18/2006
Specialties
(Taxonomies)Name
Code
207RA0201X
207RE0101X
207RG0100X
207R00000X
207RN0300X
207V00000X
207X00000X
133V00000X
207RR0500X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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