Organization
GREAT LAKES HEALTH PARTNERS LLC
Active
Other names
Interim Palliative Care of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE BYL (CHIEF OPERATING OFFICER)
(715) 410-6040
Entity
Organization
Contact information
Practice address
2801 COHO ST STE 101, MADISON, WI 53713-4576
(608) 238-0268
Mailing address
2801 COHO ST STE 101, MADISON, WI 53713-4576
(608) 238-0268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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