DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF WISCONSIN

Active Organization

ICF/Individuals with Intellectual Disabilities · MADISON, WI

Registration Details

NPI Number
1336324946
Provider Type
Organization
NPI Issued
Jan 2, 2008 (18.301482309788 yrs)
Last Updated
Jan 26, 2016

Practice Information

Address
317 KNUTSON DR
MADISON, WI, 537041133
Browse WI providers · Browse ZIP 53704
Phone
6083019382
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.