| Betts Family Medical Clinic, Ltd | |
|
528 Stoughton Rd Edgerton WI 53534-1137 | |
| (608) 884-2544 | |
| (608) 884-2912 |
| Full Name | Betts Family Medical Clinic, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 528 Stoughton Rd, Edgerton, Wisconsin |
| Authorized Official Name and Position | Kenneth Roger Betts (OWNER) |
| Authorized Official Contact | 6088842544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betts Family Medical Clinic, Ltd 528 Stoughton Rd Edgerton WI 53534-1137 Ph: (608) 884-2544 | Betts Family Medical Clinic, Ltd 528 Stoughton Rd Edgerton WI 53534-1137 Ph: (608) 884-2544 |
| NPI Number | 1487824983 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487824983 | NPI | - | NPPES |
| 32445200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39870020 (Wisconsin) | Primary |
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