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Individual

IVALEE DOWD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8202 EXCELSIOR DR, MADISON, WI 53717-1906
(608) 831-1766
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 257-3842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00751
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42943800
WI
Enumeration date
07/14/2006
Last updated
07/08/2007
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