| Organization Name: | MADISON HAIR TRANSPLANT CLINIC SC |
| NPI Number: | 1467617886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER ANTHONY GENCHEFF (PRESIDENT) |
| Mailing Address: | 2830 Dryden Drive Suite 101 Madison |
| State: | WI US |
| Postal Code: | 537043084 |
| Phone Number: | 6082418848 |
| Fax Number: | 6082418188 |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 24092-021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |