# MADISON MOBILE WOUND CARE PRACTICE

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

## Provider details

- **NPI number:** 1831945237
- **Authorized official:** KIMBERLY L OLSON NP (ADVANCED PRACTICE NURSE PRESCRIBER)
- **Authorized official phone:** (608) 577-2084

## Contact information

- **Practice address:** 401 NEW CASTLE WAY, MADISON, WI 53704-6070
- **Practice address phone:** (608) 577-2084
- **Mailing address:** PO BOX 8334, MADISON, WI 53708-8334
- **Mailing address phone:** (608) 577-2084

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 05/23/2024