Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

NPI #1457302234 in Sparta, Wisconsin

Provider Information

NPI Number: 1457302234
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 15, 2006
Last Updated: Jan 9, 2024

Practice Location

Address: 400 JEFFERSON AVE
City: Sparta
State: Wisconsin
ZIP Code: 54656-2115
Phone: (608) 269-1770

Authorized Official

Name: MARK BORTNEM
Title: CHIEF FINANICIAL OFFICER
Phone: (715) 838-5270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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