Provider First Line Business Practice Location Address:
FROEDTERT HOSPITAL
Provider Second Line Business Practice Location Address:
9200 W WISCONSIN AVE
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-805-6501
Provider Business Practice Location Address Fax Number:
414-805-6513
Provider Enumeration Date:
04/13/2007