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Individual

JANE KAREN WOLKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6514 ODANA RD, MADISON, WI 53719-1124
(608) 833-9660
(608) 833-4733
Mailing address
733 JENIFER ST, MADISON, WI 53703-3530
(608) 833-9660
(608) 833-4733

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP002234

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP002344
ABC PROSTHETICS AND ORTHOTICS
Enumeration date
09/26/2018
Last updated
09/26/2018
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