Idsvoog, Peter B
Idsvoog, Peter B is an individual health care provider with primary practice located at 7102 Mineral Point Rd , Madison WI 53717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Idsvoog, Peter B can be contacted via phone (608) 828-7611.Contact Information
Primary practice address
7102 Mineral Point Rd
Madison WI 53717
Phone: (608) 828-7611
Fax: (608) 828-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25300 | Wisconsin |
Profile Details
| NPI number | 1407822448 |
|---|---|
| LBN Legal business name | Idsvoog, Peter B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 23rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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