Individual
JOLENE R HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 EAST CAMPUS MALL, MADISON, WI 53715-1381
(608) 265-5600
Mailing address
333 EAST CAMPUS MALL, MADISON, WI 53715-1381
(608) 265-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1050-023
WI
363AM0700X
Medical Physician Assistant
Primary
1050-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42991600
—
WI
01
—
60025
DEAN HEALTH INSURANCE
WI
Enumeration date
05/03/2006
Last updated
12/02/2015
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