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Organization
SAUK PRAIRIE INTERNAL MEDICINE, LTD.
Active
Organization
SAUK PRAIRIE INTERNAL MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALAN ENSMINGER D.O. (OWNER)
(608) 643-2471
Entity
Organization
Contact information
Practice address
35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
(608) 643-2471
(608) 643-4788
Mailing address
35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
(608) 643-2471
(608) 643-4788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36639-21
WI
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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