Organization
UROGYN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN PATRICIA FITZGERALD (NP)
(608) 576-2224
Entity
Organization
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-3170
Mailing address
3401 COSGROVE DR, MADISON, WI 53719-4886
(608) 576-2224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2490-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43961200
—
WI
Enumeration date
02/26/2007
Last updated
12/01/2008
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