Organization · Type 2 NPI
Forward Ketamine of Wisconsin S.c.
Infusion Therapy Clinic/Center · Madison, WI
NPI number
1194410142
Active
Practice location
221 King St
Madison, WI 53703-3419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1194410142
Forward Ketamine of Wisconsin S.c.'s National Provider Identifier is 1194410142, issued on Apr 6, 2023. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Madison, WI. The record was last updated on Apr 6, 2023.