# STOUGHTON HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OrthoTeam Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306294921
- **Authorized official:** DANIEL C DEGROOT (PRESIDENT/CEO)
- **Authorized official phone:** (608) 873-2250

## Contact information

- **Practice address:** 2 SCIENCE CT, MADISON, WI 53711-1088
- **Practice address phone:** (608) 231-3410
- **Mailing address:** 900 RIDGE ST, STOUGHTON, WI 53589-1864
- **Mailing address phone:** (608) 873-6611
- **Mailing address fax:** (608) 873-2255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 12/13/2019