Provider First Line Business Practice Location Address:
UNIVERISTY OF WI HOSPITALS AND CLINICS, ATTN GME OFFICE
Provider Second Line Business Practice Location Address:
749 UNIVERSITY ROW, SUITE 200
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-0572
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2012