NPI 1467847509

Health Grades

Organisation Point of Service Madison, WI

Practice location

Address: 2927 Coho St, Madison, WI 53713-3069
Phone: (608) 692-2617
Mailing address: 1002 N Pine St, Sun Prairie, WI 53590-1102

Authorised official

Name: Jill Stamm
Title: RN Supervisor
Phone: (608) 577-4582

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Wisconsin →

Registry record

NPI: 1467847509
Entity type: Organization
NPI issued: 6 Apr 2015
Record last updated: 6 Apr 2015

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.