Individual
JAIME ELIZABETH PECHACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6300
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4494-23
WI
363AS0400X
Surgical Physician Assistant
Primary
4494-23
WI
Other
Enumeration date
08/03/2018
Last updated
05/04/2023
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