Whalio Doctors

NPI 1104127067

American Community Medical Center INC.

Organisation Family Medicine Physician Madison, WI

Practice location

Address
1421 S Park St, Madison, WI 53715-2178
Phone
(608) 441-6888
Fax
(608) 441-6888

Authorised official

Name
Yasmin Yusuf-Safavi
Title
Medical Director
Phone
(608) 443-9111

Registered specialties (8)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 43432-20 (WI)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 43432-20 (WI)
Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 43432-20 (WI)
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 43432-20 (WI)
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X Licence 434322-020 (WI)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1744 (WI)

Registry record

NPI
1104127067
Entity type
Organization
NPI issued
9 Nov 2010
Record last updated
28 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.