Forward Ketamine of Wisconsin S.c.
NPI #1194410142 in Madison, Wisconsin
Provider Information
- NPI Number
- 1194410142
- Entity Type
- Organization
- Organization Name
- Forward Ketamine of Wisconsin S.c.
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
Authorized Official
- Name
- MATTHEW VASEY
- Title
- PRESIDENT
- Phone
- (608) 898-4818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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