State of Wisconsin

NPI #1225362403 in Madison, Wisconsin

Provider Information

NPI Number: 1225362403
Entity Type: Organization
Organization Name: State of Wisconsin
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL WISCONSIN CENTER
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Sep 22, 2009
Last Updated: Aug 21, 2015

Practice Location

Address: 317 KNUTSON DR
City: Madison
State: Wisconsin
ZIP Code: 53704-1133
Phone: (608) 301-9337

Authorized Official

Name: CATHERINE MURRAY
Title: DIRECTOR
Phone: (608) 301-9229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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