Organization
MONARCH HEALTH
Active
Parent organization
SEQUOIA PRACTICE MANAGEMENT
Other names
Sequoia Practice Management, Monarch Addiction Recovery Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUOIA PRACTICE MANAGEMENT
Authorized official
SHERI RETTEW (CLINIC MANAGER)
(608) 669-5422
Entity
Organization
Contact information
Practice address
521 E WASHINGTON AVE, MADISON, WI 53703-2900
(608) 217-2963
Mailing address
521 E WASHINGTON AVE, MADISON, WI 53703-2900
(608) 217-2963
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154388213
—
WI
05
—
1154521425
—
WI
Enumeration date
04/13/2020
Last updated
04/13/2020
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