Organization
HOME ENTERAL NUTRITION
Active
Parent organization
UNIVERSITY OF WISCONSIN HOSPITALS & CLINICS AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WISCONSIN HOSPITALS & CLINICS AUTHORITY
Authorized official
MICHAEL BUHL (CHIEF FINANCIAL OFFICER)
(608) 263-1670
Entity
Organization
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1510
(608) 263-8248
(608) 262-1636
Mailing address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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