Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SAH Weiskopf Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
6533 LEXUS DR, ROCKFORD, IL 61108
(815) 391-4180
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
07/12/2018
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