NPI 1346922143

Longevity Clinical Ltc Associates of Wisconsin, Sc

Organisation Geriatric Medicine (Family Medicine) Physician Madison, WI

Practice location

Address: 10 E Doty St STE 800, Madison, WI 53703-5105
Phone: (608) 441-5700
Mailing address: 11780 US Highway 1 STE N107, North Palm Beach, FL 33408-3007

Authorised official

Name: Diane L Vincur
Title: Practice Manager
Phone: (561) 815-2427

Registered specialties (4)

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X

Other Family Medicine providers in Wisconsin →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X

Other Nurse Practitioner providers in Wisconsin →

Primary Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X

Registry record

NPI: 1346922143
Entity type: Organization
NPI issued: 2 Aug 2023
Record last updated: 2 Aug 2023

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.