Organization
EDGERTON HOSPITAL AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H ROEDER (VP/CFO)
(608) 884-1656
Entity
Organization
Contact information
Practice address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
Mailing address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022
WI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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