1386705655 STATE OF WISCONSIN

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
STATE OF WISCONSIN
Enumeration Date
December 12, 2006
Last Update
December 10, 2024
Authorized Official
DR. WALTON O SCHALICK III MD,PHD
MEDICAL DIRECTOR
Phone: (609) 301-9231

Practice Location

Address
317 KNUTSON DR
MADISON, WI 537041133
Phone
(608) 301-9200
Fax
(608) 301-1811

Mailing Address

Address
317 KNUTSON DR
MADISON, WI 537041133
Phone
(608) 301-9200
Fax
(608) 301-1811

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities 2780 WI Primary

Other Identifiers

Identifier Type State Issuer
21050100 05 WI N/A

Frequently Asked Questions

What is STATE OF WISCONSIN's NPI number?
STATE OF WISCONSIN's NPI number is 1386705655.
Which doctor has NPI number 1386705655?
The doctor with NPI number 1386705655 is STATE OF WISCONSIN.
What is STATE OF WISCONSIN's practice address?
STATE OF WISCONSIN's practice address is 317 KNUTSON DR, MADISON, WI, 537041133.
Which doctor practices at 317 KNUTSON DR, MADISON, WI, 537041133?
STATE OF WISCONSIN practices at 317 KNUTSON DR, MADISON, WI, 537041133.
What is STATE OF WISCONSIN's phone number?
STATE OF WISCONSIN's phone number is (608) 301-9200.
Who is (608) 301-9200?
(608) 301-9200 is the phone number for STATE OF WISCONSIN.
What is STATE OF WISCONSIN's specialty?
STATE OF WISCONSIN's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is STATE OF WISCONSIN?
STATE OF WISCONSIN is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is STATE OF WISCONSIN a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, STATE OF WISCONSIN is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is STATE OF WISCONSIN still practicing?
Yes, STATE OF WISCONSIN is currently practicing.
Is STATE OF WISCONSIN accepting new patients?
STATE OF WISCONSIN may be accepting new patients. Please call their office at (608) 301-9200 to inquire about availability.
Is NPI 1386705655 still active?
Yes, NPI 1386705655 is currently active.
Where does STATE OF WISCONSIN practice?
STATE OF WISCONSIN practices in MADISON, WI.