Individual
DARCEY P AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6161
Mailing address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1062-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588691398
—
WI
05
—
42975700
—
WI
01
—
970030030
RAILROAD MEDICARE
WI
Enumeration date
06/27/2006
Last updated
01/06/2021
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