Individual
SCOTT LIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 263-7540
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8363
WI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
04/09/2026
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