Badger Care Llc | |
210 N Main St Deforest WI 53532-1163 | |
(608) 842-2660 | |
Not Available |
Full Name | Badger Care Llc |
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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 |
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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 |
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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 |