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Organization
SOUTHWEST HEALTH CENTER, INC
Active
Organization
SOUTHWEST HEALTH CENTER, INC
Active
Other names
Southwest Health Kieler Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF (CFO)
(608) 342-4705
Entity
Organization
Contact information
Practice address
3695 PRISM LANE, KIELER, WI 53812-0263
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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