| Integrated Sport And Spine Clinic Of Madison Llc | |
|
3109 Commercial Ave Madison WI 53714-1447 | |
| (608) 271-8009 | |
| (608) 243-9290 |
| Full Name | Integrated Sport And Spine Clinic Of Madison Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3109 Commercial Ave, Madison, Wisconsin |
| Authorized Official Name and Position | David Heitmann (OWNER) |
| Authorized Official Contact | 6082718009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Sport And Spine Clinic Of Madison Llc 3109 Commercial Ave Madison WI 53714-1447 Ph: (608) 271-8009 | Integrated Sport And Spine Clinic Of Madison Llc 3109 Commercial Ave Madison WI 53714-1447 Ph: (608) 271-8009 |
| NPI Number | 1225296874 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225296874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4401-12 (Wisconsin) | Primary |
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