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NPI Code Detail

MEDICARE: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

MEDICARE: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083675185
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Provider Business Mailing Address
First Line : 7974 UW HEALTH COURT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number : 608-829-5270
Fax Number : 608-833-0999
Provider Business Practice Location Address
First Line : 2651 WINDSOR ST
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9825
Country : US
Telephone Number : 608-837-2206
Fax Number : 608-837-9752
Authorized Official
Title or Position : CAO & CFO
Name : ROBERT FLANNERY
Credential :
Telephone Number : 608-821-4223
Provider Enumeration Date : 03/29/2006
Last Update Date : 07/07/2016

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Directions to “UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC ” Practice Location

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