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Individual

EBBA TINA HJERTSTEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61763
WI
208000000X
Pediatrics Physician
61763
WI
208M00000X
Hospitalist Physician
Primary
61763
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467728527
WI
Enumeration date
03/22/2012
Last updated
05/04/2026
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