Edgewood College, Inc
Edgewood College, Inc is a Family Medicine Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Edgewood College DrMadison, WI 53711-1997
Phone: (608) 663-4861
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 64261-21 (WI) |
|---|
Record details
| NPI number | 1740739622 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Edgewood College Sports Medicine |
| NPI enumerated | October 3, 2016 |
| Last updated in NPPES | October 3, 2016 |
| Mailing address | 5050 Spring Valley Rd., Dallas, TX 75244-3909 |
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