Dtg II Pllc

NPI #1770263071 in Madison, Wisconsin

Provider Information

NPI Number: 1770263071
Entity Type: Organization
Organization Name: Dtg II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DTG II PLLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 20, 2023
Last Updated: Jul 20, 2023

Practice Location

Address: 2810 CROSSROADS DR STE 4000
City: Madison
State: Wisconsin
ZIP Code: 53718-8014
Phone: (800) 268-7713

Authorized Official

Name: DR. JOHN M BERNARD, MD
Title: PRESIDENT
Phone: (800) 268-7713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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