Individual
SADECA GULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 INTERNATIONAL LN STE 114, MADISON, WI 53704-3154
(608) 471-4127
(855) 316-1039
Mailing address
6000 MONONA DR STE 201, MONONA, WI 53716-3329
(608) 440-3481
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
WI
246RP1900X
Phlebotomy Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
WI
Other
Enumeration date
07/08/2022
Last updated
09/21/2023
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