Individual
JONATHAN T KETZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-8100
(608) 263-0575
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34982
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
34982
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
34982
WI
Other
Enumeration date
02/24/2006
Last updated
05/04/2023
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