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Individual

ANGELA M MARCHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3801 DAWES ST, MADISON, WI 53714-2423
(414) 975-9833
Mailing address
3801 DAWES ST, MADISON, WI 53714-2423
(414) 975-9833

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68824-21
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124482542
WI
Enumeration date
04/12/2016
Last updated
05/01/2024
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