Monogram Health Professional Services Of Wisconsin Sc | |
2810 Crossroads Dr Ste 4000 Madison WI 53718-8014 | |
(615) 673-4455 | |
(615) 432-4651 |
Full Name | Monogram Health Professional Services Of Wisconsin Sc |
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Speciality | Internal Medicine |
Location | 2810 Crossroads Dr Ste 4000, Madison, Wisconsin |
Authorized Official Name and Position | Shawn L Verner (GENERAL COUNSEL & SECRETARY) |
Authorized Official Contact | 6159941889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monogram Health Professional Services Of Wisconsin Sc 5410 Maryland Way Ste 301 Brentwood TN 37027-5339 Ph: (615) 673-4455 | Monogram Health Professional Services Of Wisconsin Sc 2810 Crossroads Dr Ste 4000 Madison WI 53718-8014 Ph: (615) 673-4455 |
NPI Number | 1730804477 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 10/10/2022 |
Medicare PECOS PAC ID | 7517336860 |
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Medicare Enrollment ID | O20221208002954 |
Identifier | Type | State | Issuer |
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1730804477 | NPI | - | NPPES |
Provider Name | Shaminder Gupta |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20221208003052 |
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