Individual
AMANDA LEIGH PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6420
(608) 263-0440
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
127852-121
WI
363A00000X
Physician Assistant
Primary
3320-23
WI
Other
Enumeration date
12/04/2009
Last updated
02/14/2018
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