Organization
MADISON VAMC
Active
Other names
Freeport VA CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
750 KIWANIS DR, SUITE 250, FREEPORT, IL 61032-7119
(608) 821-7200
Mailing address
PO BOX 5117, MADISON, WI 53705-0117
(608) 821-7200
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
09/04/2015
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