# SAUK PRAIRIE INTERNAL MEDICINE, LTD.

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

## Provider details

- **NPI number:** 1467519801
- **Authorized official:** DR. SCOTT ALAN ENSMINGER D.O. (OWNER)
- **Authorized official phone:** (608) 643-2471

## Contact information

- **Practice address:** 35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
- **Practice address phone:** (608) 643-2471
- **Practice address fax:** (608) 643-4788
- **Mailing address:** 35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
- **Mailing address phone:** (608) 643-2471
- **Mailing address fax:** (608) 643-4788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 36639-21 | WI | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020