Minor Procedures, S.c. | |
1920 Monroe St Madison WI 53711-2027 | |
(608) 251-6060 | |
(608) 251-3930 |
Full Name | Minor Procedures, S.c. |
---|---|
Speciality | Clinic/center |
Location | 1920 Monroe St, Madison, Wisconsin |
Authorized Official Name and Position | Richard Lee Owens (PRESIDENT/DOCTOR) |
Authorized Official Contact | 6082516060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minor Procedures, S.c. 1920 Monroe St Madison WI 53711-2027 Ph: (608) 251-6060 | Minor Procedures, S.c. 1920 Monroe St Madison WI 53711-2027 Ph: (608) 251-6060 |
NPI Number | 1447424718 |
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Provider Enumeration Date | 04/17/2008 |
Last Update Date | 10/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447424718 | NPI | - | NPPES |
32182800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 35780-020 (Wisconsin) | Primary |
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