Individual
JACOB A MACDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1009
(608) 263-4757
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
105631
IA
363AM0700X
Medical Physician Assistant
5601009819
MI
363AS0400X
Surgical Physician Assistant
Primary
7724
WI
Other
Enumeration date
03/12/2020
Last updated
01/08/2024
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