MEDICARE: DR. CARA ROBINSON KING D.O.

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
1	207VG0400X	Gynecology Physician	62820	WI

General Provider Information

NPI Number	:	1104091685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARA ROBINSON KING D.O.

Provider Business Mailing Address
First Line	:	1528 VILAS AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 VILAS AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2228
Country	:	US
Telephone Number	:	413-535-8220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/26/2019

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