Organization
SAUK PRAIRIE INTERNAL MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALAN ENSMINGER D.O. (OWNER)
(608) 643-2471
Entity
Organization
Contact information
Practice address
35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
(608) 643-2471
(608) 643-4788
Mailing address
35 PRAIRIE AVE, SUITE 200, PRAIRIE DU SAC, WI 53578-1500
(608) 643-2471
(608) 643-4788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36639-21
WI
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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