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Out Health INC.

Family Medicine in Madison, WI. Organization (NPI-2).

NPI number1003449752
StatusActive
Last updated in NPPESFeb 4, 2021

Details

NPI
1003449752
Entity type
Organization (NPI-2)
Legal business name
Out Health INC.
Organization subpart
No
Enumeration date
Feb 20, 2020
Certification date
Feb 4, 2021
Last updated
Feb 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207QA0401X Family Medicine, Addiction Medicine––

Practice location

5231 University Ave
Madison, WI 53705-1361

Phone 608-238-0100 · Fax 608-238-7550

Mailing address

5231 University Ave
Madison, WI 53705-1361

Phone 608-238-0100 · Fax 608-238-7550

Authorized official

Kathy Oriel
President/Founder
6082380100

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