Individual
TEAGAN CALAIS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-4800
(608) 263-6190
(608) 263-6199
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3874
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154870707
—
WI
Enumeration date
09/23/2016
Last updated
01/13/2021
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