# THE MONROE MEDICAL FOUNDATION FOR RESEARCH AND EDUCATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447436829
- **Authorized official:** MS. PATRICIA L BERRA CCRC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (608) 324-2290

## Contact information

- **Practice address:** 411 22ND AVE, MONROE, WI 53566-1576
- **Practice address phone:** (608) 324-2670
- **Practice address fax:** (608) 324-2363
- **Mailing address:** 411 22ND AVE, MONROE, WI 53566-1576
- **Mailing address phone:** (608) 324-2670
- **Mailing address fax:** (608) 324-2363

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 562979 | DEAN HEALTH PLAN | WI |