Graduated: 2020
NPI: 1760019178
Practice Locations (4)
FORT HEALTHCARE INC
611 E SHERMAN AVE
FORT ATKINSON, WI 535381960
9205685000
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
600 HIGHLAND AVE
MADISON, WI 537920001
6082636400
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
675 W WASHINGTON AVE
MADISON, WI 537032637
6082579700
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
8202 EXCELSIOR DR
MADISON, WI 537171906
6088311766
Source: CMS National Downloadable File, September 2026.