Provider First Line Business Practice Location Address:
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Provider Second Line Business Practice Location Address:
600 HIGHLAND AVE. ROOM H4/710
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53792-7375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-1387
Provider Business Practice Location Address Fax Number:
608-263-7652
Provider Enumeration Date:
05/05/2006