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Organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Active
Organization
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN EISENBERG (MEDICAL STAFF ADMINISTRATOR)
(608) 251-4156
Entity
Organization
Contact information
Practice address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
261429
WI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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