Individual
WILLIAM CHUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6661 ODANA RD, MADISON, WI 53719-1011
(608) 829-2535
(608) 829-1319
Mailing address
6661 ODANA RD, MADISON, WI 53719-1011
(608) 829-2535
(608) 829-1319
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
676
WI
213EP1101X
Primary Podiatric Medicine Podiatrist
676
WI
213ES0131X
Foot Surgery Podiatrist
676
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43219900
—
WI
Enumeration date
08/15/2006
Last updated
02/24/2010
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