Organization
SOUTHWEST HEALTH CENTER, INC
Active
Other names
Southwest Health Kieler Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF (CFO)
(608) 342-4705
Entity
Organization
Contact information
Practice address
3695 PRISM LANE, KIELER, WI 53812-0263
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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