Southern Wisconsin Medical Associates Sc

NPI #1659391076 in Edgerton, Wisconsin

Provider Information

NPI Number: 1659391076
Entity Type: Organization
Organization Name: Southern Wisconsin Medical Associates Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 92 E STATE ROAD 59
City: Edgerton
State: Wisconsin
ZIP Code: 53534-9001
Phone: (608) 884-3417

Authorized Official

Name: DAVID GATTUSO, M.D.
Title: PRESIDENT
Phone: (608) 884-3417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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