Organization
MONARCH ADDICTION RECOVERY CLINICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI RETTEW (CLINIC MANAGER)
(608) 669-5422
Entity
Organization
Contact information
Practice address
521 E WASHINGTON AVE, MADISON, WI 53703-2900
(608) 217-2963
Mailing address
521 E WASHINGTON AVE, MADISON, WI 53703-2900
(608) 729-9388
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154388213
—
WI
05
—
1154521425
—
WI
Enumeration date
05/15/2020
Last updated
01/08/2021
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