| Wildwood Family Clinic Sc | |
|
4901 Cottage Grove Rd Madison WI 53716-1392 | |
| (608) 221-1501 | |
| (608) 223-3540 |
| Full Name | Wildwood Family Clinic Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 4901 Cottage Grove Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Sheryl Green (ADMINISTRATOR) |
| Authorized Official Contact | 6082211501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Family Clinic Sc 4901 Cottage Grove Rd Madison WI 53716-1392 Ph: (608) 221-1501 | Wildwood Family Clinic Sc 4901 Cottage Grove Rd Madison WI 53716-1392 Ph: (608) 221-1501 |
| NPI Number | 1851300784 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851300784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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