Individual
JOHN W CONSTANTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 UNIVERSITY BAY DR STE 300, MADISON, WI 53705-2299
(608) 264-3093
Mailing address
800 UNIVERSITY BAY DR STE 300, MADISON, WI 53705-2299
(608) 264-3093
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77601-21
WI
2084N0400X
Neurology Physician
77601-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
04/07/2021
Last updated
09/08/2023
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