Organization
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Active
Other names
UW Health Augusta Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GROSSMAN (PRESIDENT AND CEO)
(608) 263-7013
Entity
Organization
Contact information
Practice address
207 W LINCOLN ST, SUITE 1, AUGUSTA, WI 54722-9156
(715) 286-2270
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 829-5270
(608) 833-5039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41753700
—
WI
Enumeration date
03/24/2006
Last updated
08/22/2014
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