Individual
TALYA S SPIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6835
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6835
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74241-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295297125
—
WI
Enumeration date
04/01/2019
Last updated
09/07/2023
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