# SOUTHERN WISCONSIN MEDICAL ASSOCIATES SC

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

## Provider details

- **NPI number:** 1659391076
- **Authorized official:** DAVID GATTUSO M.D. (PRESIDENT)
- **Authorized official phone:** (608) 884-3417

## Contact information

- **Practice address:** 92 E STATE ROAD 59, EDGERTON, WI 53534-9001
- **Practice address phone:** (608) 884-3417
- **Practice address fax:** (608) 884-9347
- **Mailing address:** 92 E STATE RD 59, EDGERTON, WI 53534-9001
- **Mailing address phone:** (608) 884-3417
- **Mailing address fax:** (608) 884-9347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020