Organization
MADISON MEDICAL AFFILIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAAREN P. BUTZEN (CREDENTIALING)
(414) 226-4025
Entity
Organization
Contact information
Practice address
788 N JEFFERSON STREET, SUITES 201,300, 401, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 225-2929
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 225-2929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32847200
—
WI
Enumeration date
07/06/2006
Last updated
11/07/2023
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