Wildwood Family Clinic Sc

NPI #1851300784 in Madison, Wisconsin

Provider Information

NPI Number: 1851300784
Entity Type: Organization
Organization Name: Wildwood Family Clinic Sc
Primary Specialty: Family Medicine
Enumeration Date: Aug 7, 2006
Last Updated: Jan 15, 2008

Practice Location

Address: 4901 COTTAGE GROVE RD
City: Madison
State: Wisconsin
ZIP Code: 53716-1392
Phone: (608) 221-1501

Authorized Official

Name: SHERYL GREEN
Title: ADMINISTRATOR
Phone: (608) 221-1501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Family Medicine	207Q00000X	Primary

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