| Primal Air, Llc | |
|
1266 W Main St Sun Prairie WI 53590-1918 | |
| (608) 318-2800 | |
| Not Available |
| Full Name | Primal Air, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1266 W Main St, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Phillip Air Gutkowski (BUSINESS MANAGER) |
| Authorized Official Contact | 6083734871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Air, Llc 1266 W Main St Ste 2 Sun Prairie WI 53590-1922 Ph: (608) 373-4871 | Primal Air, Llc 1266 W Main St Sun Prairie WI 53590-1918 Ph: (608) 318-2800 |
| NPI Number | 1306425251 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306425251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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