Individual
KELSIE SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6190
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3815
WI
363AS0400X
Surgical Physician Assistant
Primary
3815-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061275
—
WI
Enumeration date
07/18/2016
Last updated
12/01/2025
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