Individual
ANNA L BOLHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 JOHN Q HAMMONS DR STE 400, MADISON, WI 53717-1967
(608) 410-2700
(608) 410-2905
Mailing address
1200 JOHN Q HAMMONS DR STE 400, MADISON, WI 53717-1967
(608) 410-2700
(608) 410-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2971-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528313681
—
WI
Enumeration date
07/16/2012
Last updated
12/16/2020
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