Organization
MADISON SURGICAL APPLIANCE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWELL A HUGHES CERTIFIED FITTER (OWNER)
(608) 241-7170
Entity
Organization
Contact information
Practice address
4222 MILWAUKEE ST STE 2&3, MADISON, WI 53714-3508
(608) 241-7170
(608) 241-7190
Mailing address
4222 MILWAUKEE ST STE 2&3, MADISON, WI 53714-3508
(608) 241-7170
(608) 241-7190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417249000
—
WI
Enumeration date
12/19/2007
Last updated
08/06/2008
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