Forward Ketamine of Wisconsin SC
Forward Ketamine of Wisconsin SC is an Infusion Therapy Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
221 King StMadison, WI 53703-3419
Phone: (608) 898-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|
Record details
| NPI number | 1194410142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Vasey — President · (608) 898-4818 |
| Other names | Forward Ketamine |
| NPI enumerated | April 6, 2023 |
| Last updated in NPPES | April 6, 2023 |
| Certification date | April 6, 2023 |
| Mailing address | 221 King St, Madison, WI 53703-3419 |