Family Service Associates

NPI 1740210053 - Clinic/Center - 261QM0801X

NPI Details
NPI 1740210053
Enumeration Date 07/03/2006
Last Updated 11/07/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHERRY D SHERRY
Position CREDENTIALING DEPT/BUSINESS MANAGER
Phone (608) 356-9055
Fax (608) 356-5447
Practice Location
1002 LINCOLN AVE
BARABOO WI, 53913-1808, US
Phone (608) 356-9055
Fax (608) 356-5447
Business Location
1002 LINCOLN AVE
BARABOO WI, 53913-1808, US
Phone (608) 356-9055
Fax (608) 356-5447
Toxanomy
Taxonomy Code 261QM0801X
License State Wisconsin
License Number 2554
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According to our database, Family Service Associates NPI is 1740210053, taxonomy code is 261QM0801X and license number is 2554, license state is located at Wisconsin. Family Service Associates physically located at 1002 Lincoln Ave, Baraboo WI, 53913-1808. NPI Number 1033115704 has the healthcare provider type.

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1740210053 NPI number is provided on an as is basis without warranty of any kind. 1740210053 is maintained by the National Plan & Provider Enumeration System. The contents of Family Service Associates are for informational purposes only.