Individual
CASSIE J KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1830
(608) 252-8000
(608) 288-6495
Mailing address
1211 FISH HATCHERY RD., MADISON, WI 53715-1830
(608) 252-8000
(608) 288-6495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053644161
—
WI
Enumeration date
09/09/2009
Last updated
03/21/2022
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