Individual
JACOB EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-7171
Mailing address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7115-851
WI
Other
Enumeration date
04/18/2017
Last updated
06/23/2018
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