| Organization Name: | SPRING MEDICAL ASSOCIATES,LLC |
| NPI Number: | 1104996081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HISHAM A OSMAN (FAMILY PRACTICE) |
| Mailing Address: | 156 West Jefferson Street Spring Green |
| State: | WI US |
| Postal Code: | 53588 |
| Phone Number: | 6085882600 |
| Fax Number: | 6085882644 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 37632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |