Provider First Line Business Practice Location Address:
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Provider Second Line Business Practice Location Address:
600 HIGHLAND AVE. ROOM H4/576 5148
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53792-3284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-5010
Provider Business Practice Location Address Fax Number:
608-264-4660
Provider Enumeration Date:
05/03/2006