| Southern Wisconsin Medical Associates Sc | |
|
92 E State Road 59 Edgerton WI 53534-9001 | |
| (608) 884-3417 | |
| (608) 884-9347 |
| Full Name | Southern Wisconsin Medical Associates Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 92 E State Road 59, Edgerton, Wisconsin |
| Authorized Official Name and Position | David Gattuso (PRESIDENT) |
| Authorized Official Contact | 6088843417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Wisconsin Medical Associates Sc 92 E State Rd 59 Edgerton WI 53534-9001 Ph: (608) 884-3417 | Southern Wisconsin Medical Associates Sc 92 E State Road 59 Edgerton WI 53534-9001 Ph: (608) 884-3417 |
| NPI Number | 1659391076 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659391076 | NPI | - | NPPES |
| 218686972009 | Other | WI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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