Individual
JORDAN PETER MAKELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
70057
CT
208600000X
Surgery Physician
71256-20
WI
2086S0102X
Surgical Critical Care Physician
171108
MT
2086S0127X
Trauma Surgery Physician
Primary
71256
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245632389
—
WI
Enumeration date
09/19/2014
Last updated
04/08/2026
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