Organization
SURGICAL SPECIALISTS OF DODGE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M MILITELLO MD (PRESIDENT)
(920) 887-0379
Entity
Organization
Contact information
Practice address
705 S UNIVERSITY AVE, 350, BEAVER DAM, WI 53916
(920) 887-0379
(920) 887-0382
Mailing address
705 S UNIVERSITY AVE, 350, BEAVER DAM, WI 53916
(920) 887-0379
(920) 887-0382
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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