Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
Waisman Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MOUNT (ASSOCIATE DEAN)
(608) 263-4938
Entity
Organization
Contact information
Practice address
1500 HIGHLAND AVE, BUSINESS OFFICE, MADISON, WI 53705-2274
(608) 263-5799
(608) 253-0529
Mailing address
1500 HIGHLAND AVE, BUSINESS OFFICE, MADISON, WI 53705-2274
(608) 263-5799
(608) 253-0529
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41210900
—
WI
Enumeration date
03/12/2008
Last updated
12/04/2024
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