Individual
NATHANIEL GARY KITZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 S PARK ST STE 202, MADISON, WI 53715-1386
(608) 287-2090
(608) 287-2086
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5794-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417544305
—
WI
Enumeration date
12/25/2020
Last updated
05/23/2023
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