Wisconsin Fertility And Reproductive Surgery Associates Sc
Clinic/Center in Middleton, WI. Organization (NPI-2).
NPI number1265645600
StatusActive
Last updated in NPPESFeb 19, 2009
Details
- NPI
- 1265645600
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisconsin Fertility And Reproductive Surgery Associates Sc
- Organization subpart
- No
- Enumeration date
- May 8, 2007
- Last updated
- Feb 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 44212020 | WI | Yes |
Other names
- Wisconsin Fertility Institute (Doing Business As)
Practice location
3146 Deming WayMiddleton, WI 53562-1461
Phone 608-824-0075 · Fax 608-829-0748
Mailing address
3146 Deming WayMiddleton, WI 53562-1461
Phone 608-824-0075 · Fax 608-829-0748
Authorized official
David Leon Olive
Founder Physician
6088240075
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