Organization
WILDWOOD FAMILY CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL GREEN (ADMINISTRATOR)
(608) 221-1501
Entity
Organization
Contact information
Practice address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Mailing address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
01/15/2008
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