| NPI | 1861412785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI J CARUFEL-WERT Executive Director 608-442-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-02-13 |