Individual
JASON TING LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792
(608) 265-2358
Mailing address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792
(608) 265-2358
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
65223-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2014
Last updated
12/21/2016
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