Organization
MONROE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN W CARON L/COTA (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(608) 609-0521
Entity
Organization
Contact information
Practice address
2714 YAHARA RD, STOUGHTON, WI 53589-3369
(608) 609-0521
Mailing address
2714 YAHARA RD, STOUGHTON, WI 53589-3369
(608) 609-0521
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
4874-27
WI
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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