Individual
MARY E GIBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
701 DANE ST, MADISON, WI 53713-1900
(608) 263-3111
(608) 263-6663
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2146
WI
Other
Enumeration date
07/03/2007
Last updated
03/30/2009
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