Sauk Prairie Internal Medicine, Ltd.

NPI #1467519801 in Prairie Du Sac, Wisconsin

Provider Information

NPI Number: 1467519801
Entity Type: Organization
Organization Name: Sauk Prairie Internal Medicine, Ltd.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 35 PRAIRIE AVE
Address 2: SUITE 200
City: Prairie Du Sac
State: Wisconsin
ZIP Code: 53578-1500
Phone: (608) 643-2471

Authorized Official

Name: DR. SCOTT ALAN ENSMINGER, D.O.
Title: OWNER
Phone: (608) 643-2471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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