Organization
SOUTHWEST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF AO (AO)
(608) 342-4705
Entity
Organization
Contact information
Practice address
3695 PRISM LN, CUBA CITY, WI 53807-0000
(952) 653-2560
(952) 653-2540
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
(952) 653-2540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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