| Sauk/columbia Iop Program | |
|
414 Broadway St Ste 101 Baraboo WI 53913-2488 | |
| (608) 448-1011 | |
| (608) 355-4106 |
| Full Name | Sauk/columbia Iop Program |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 414 Broadway St Ste 101, Baraboo, Wisconsin |
| Authorized Official Name and Position | Steven John Pietroske (DIRECTOR - FINANCIAL OPERATIONS) |
| Authorized Official Contact | 4142462565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sauk/columbia Iop Program 727 8th St Baraboo WI 53913-1794 Ph: (608) 448-1011 | Sauk/columbia Iop Program 414 Broadway St Ste 101 Baraboo WI 53913-2488 Ph: (608) 448-1011 |
| NPI Number | 1144995077 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144995077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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