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Organization

SOUTHWEST HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
(608) 342-2331
Entity
Organization

Contact information

Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CD 736-029
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CD 736-029
STATE LICENSE
WI
Enumeration date
05/24/2007
Last updated
12/17/2021
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