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NPI Code Detail

MEDICARE: MADISON PLASTIC SURGERY ASSOCIATES

MEDICARE: MADISON PLASTIC SURGERY ASSOCIATES
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
1208200000XPlastic Surgery Physician

General Provider Information

NPI Number : 1194781195
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON PLASTIC SURGERY ASSOCIATES
Provider Business Mailing Address
First Line : 20 S PARK ST
Second Line : STE 360
City : MADISON
State : WI
Zip : 53715-1348
Country : US
Telephone Number : 608-257-2208
Fax Number :
Provider Business Practice Location Address
First Line : 20 S PARK ST
Second Line : STE 360
City : MADISON
State : WI
Zip : 53715-1348
Country : US
Telephone Number : 608-257-2208
Fax Number :
Authorized Official
Title or Position : MD
Name : JOHN HAMACHER
Credential : MD
Telephone Number : 608-257-2208
Provider Enumeration Date : 04/26/2006
Last Update Date : 08/22/2020

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