LONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC

MADISON, WI
NPI1346922143
Entity TypeOrganization
Authorized ContactDIANE L VINCUR
Practice Manager
561-815-2427
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Additional Taxonomies207Q00000X Family Medicine
363LG0600X Nurse Practitioner, Gerontology
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
LONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC
10 E DOTY ST STE 800
MADISON, WI 53703-5105
Phone number: 608-441-5700
Mailing Address
LONGEVITY CLINICAL LTC ASSOCIATES OF WISCONSIN, SC
11780 US HIGHWAY 1 STE N107
NORTH PALM BEACH, FL 33408-3007
Phone number: 561-815-2427
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