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Individual

JAMES MICHAEL REWEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7401 MINERAL POINT RD, MADISON, WI 53715-1596
(608) 417-8891
(414) 290-6755
Mailing address
202 S. PARK ST, MADISON, WI 53715-1596
(608) 417-3806
(608) 417-3878

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1190-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41926800
WI
01
930118279
MEDICARE RAILROAD
WI
Enumeration date
06/18/2006
Last updated
01/22/2009
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