Organization · Type 2 NPI
Shade Medical and Creative Tattoo LLC
Medical Art Specialist/Technologist · Madison, WI
NPI number
1548820731
Active
Practice location
3230 University Ave Ste 12
Madison, WI 53705-3540
Mailing address
2201 Westchester Rd
Fitchburg, WI 53711-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Art Specialist/Technologist Primary | 246ZA2600X | None listed |
Medical Art Specialist/Technologist: None
Another provider at this address
About NPI 1548820731
Shade Medical and Creative Tattoo LLC's National Provider Identifier is 1548820731, issued on Jun 19, 2019. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in Madison, WI. The record was last updated on Jun 19, 2019.