Individual
REBECCA A WACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2961
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3357-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639578362
—
WI
Enumeration date
08/19/2014
Last updated
10/04/2023
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