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STATE MEDICAID
Preferred Provider Organization
NPI: 1891898219Organization
Specialties, Licenses & Credentials
Preferred Provider OrganizationPrimary
Preferred Provider Organization
Code: 305R00000X
Contact & Hours
- Address
- 824 LOTHE ST
SUN PRAIRIE, WI 53590 - Phone
- (608) 334-0900
Quick Facts
- NPI
- 1891898219
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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