Wildwood Family Clinic, Sc
NPI #1225115124 in Cottage Grove, Wisconsin
Provider Information
- NPI Number
- 1225115124
- Entity Type
- Organization
- Organization Name
- Wildwood Family Clinic, Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 535 SOUTHING GRANGE
- City
- Cottage Grove
- State
- Wisconsin
- ZIP Code
- 53527-9338
- Phone
- (608) 839-3515
Authorized Official
- Name
- SHERYL GREEN
- Title
- ADMINISTRATOR
- Phone
- (608) 221-1501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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