Healthcare Provider Details

I. General information

NPI: 1811801897
Provider Name (Legal Business Name): WILLIAM S MIDDLETON VETERANS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

IV. Provider business mailing address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

V. Phone/Fax

Practice location:
  • Phone: 608-256-1901
  • Fax:
Mailing address:
  • Phone: 608-256-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. TAYLOR BROOKE ISON-MALY
Title or Position: BLIND REHABILITATION SPECIALIST
Credential: COMS, CLVT
Phone: 608-256-1901