Organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Active
Other names
UW Health Waunakee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE KINSELLA (VICE PRESIDENT)
(608) 829-5270
Entity
Organization
Contact information
Practice address
208 S CENTURY AVE, WAUNAKEE, WI 53597-1250
(608) 849-7891
(608) 849-7126
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 829-5270
(608) 833-6965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41723100
—
WI
Enumeration date
03/29/2006
Last updated
12/01/2008
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