Organization
SSM HEALTH CARE OF WISCONSIN, INC
Active
Parent organization
SSM HEALTH CARE OF WISCONSIN, INC
Other names
St Mary's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF WISCONSIN, INC
Authorized official
BOB FALSEY (DIRECTOR OF PHARMACY)
(952) 653-2565
Entity
Organization
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(952) 653-2565
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
07/01/2015
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