Individual
KETTY THERTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
(608) 287-5992
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64526
WI
Other
Enumeration date
07/30/2010
Last updated
01/22/2021
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