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Organization

BADGER CARE LLC

Active
Parent organization
BADGER CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BADGER CARE LLC
Authorized official
SALAM SYED MD (MEDICAL DIRECTOR)
(608) 842-2660
Entity
Organization

Contact information

Practice address
210 N MAIN ST, DEFOREST, WI 53532-1163
(608) 842-2660
Mailing address
210 N MAIN ST STE 103, DEFOREST, WI 53532-1163
(608) 842-2660

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53833
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669666731
INDIVIDUAL NPI
WI
05
1669666731
WI
Enumeration date
03/20/2017
Last updated
09/28/2022
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