is a Critical Care Medicine in Madison, Wisconsin. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1265699151. The last update date is .
's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6082637203 and fax number 6082639103. The mailing address for is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 600 Highland Ave, Madison, Wisconsin |
| Phone Number | 6082637203 |
| Fax Number | 6082639103 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265699151 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 600 Highland Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537923328 |
| Phone Number | 6082637203 |
| Fax Number | 6082639103 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 73366 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00749858 | IL | RAILROAD MEDICARE PTAN | |
| 363149833601900 | IL | HFS GROUP PAYEE NUMBER | |
| S062-0514 | MD | CAREFIRST BC/BS | |
| 222075 | IL | BLUE CROSS GROUP NUMBER |
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