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Individual

MARCIA ANGELA BOLLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 222-9777
(608) 221-2646
Mailing address
7954 W OAKBROOK CIR, MADISON, WI 53717-1676
(608) 833-5609

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2804-023
WI

Other

Enumeration date
09/15/2011
Last updated
09/15/2011
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