| Badger Care Llc | |
|
210 N Main St Deforest WI 53532-1163 | |
| (608) 842-2660 | |
| Not Available |
| Full Name | Badger Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 N Main St, Deforest, Wisconsin |
| Authorized Official Name and Position | Salam Syed (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6088422660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Badger Care Llc 210 N Main St Ste 103 Deforest WI 53532-1163 Ph: (608) 842-2660 | Badger Care Llc 210 N Main St Deforest WI 53532-1163 Ph: (608) 842-2660 |
| NPI Number | 1417498718 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417498718 | NPI | - | NPPES |
| 1669666731 | Other | WI | INDIVIDUAL NPI |
| 1669666731 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53833 (Wisconsin) | Primary |