Organization
INTEGRATED SPORT AND SPINE CLINIC OF MADISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HEITMANN DC, MS (OWNER)
(608) 271-8009
Entity
Organization
Contact information
Practice address
3109 COMMERCIAL AVE, MADISON, WI 53714-1447
(608) 271-8009
(608) 243-9290
Mailing address
3109 COMMERCIAL AVE, MADISON, WI 53714-1447
(608) 271-8009
(608) 243-9290
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4401-12
WI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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