# WISCONSIN FERTILITY AND REPRODUCTIVE SURGERY ASSOCIATES SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisconsin Fertility Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265645600
- **Authorized official:** DR. DAVID LEON OLIVE M.D. (FOUNDER PHYSICIAN)
- **Authorized official phone:** (608) 824-0075

## Contact information

- **Practice address:** 3146 DEMING WAY, MIDDLETON, WI 53562-1461
- **Practice address phone:** (608) 824-0075
- **Practice address fax:** (608) 829-0748
- **Mailing address:** 3146 DEMING WAY, MIDDLETON, WI 53562-1461
- **Mailing address phone:** (608) 824-0075
- **Mailing address fax:** (608) 829-0748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 44212020 | WI | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 02/19/2009