Organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Active
Organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Active
Other names
UW Health Horicon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE KINSELLA (VICE PRESIDENT)
(608) 829-5270
Entity
Organization
Contact information
Practice address
610 WASHINGTON ST, HORICON, WI 53032-1552
(920) 485-4341
(920) 485-4449
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 829-5270
(608) 833-6965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41723500
—
WI
Enumeration date
03/29/2006
Last updated
12/01/2008
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