Individual
JOSEPH M WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2315 OAKRIDGE AVE, MADISON, WI 53704-5768
(608) 438-3758
Mailing address
2315 OAKRIDGE AVE, MADISON, WI 53704-5768
(608) 438-3758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
767-23
WI
363AM0700X
Medical Physician Assistant
767-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3974
DEAN HEALTH INSURANCE
WI
05
—
42947500
—
WI
Enumeration date
06/23/2006
Last updated
04/09/2026
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