Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SAH Transformations Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
1639 N ALPINE RD STE 400, ROCKFORD, IL 61107
(815) 977-4403
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
07/12/2018
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