Provider First Line Business Practice Location Address:
36 S BROOKS ST
Provider Second Line Business Practice Location Address:
WISCONSIN PATHOLOGISTS, SC
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53715-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-417-6267
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2006