Individual
TABITHA L. ONGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8929
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8929
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70999-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811301997
—
WI
Enumeration date
06/17/2014
Last updated
10/27/2020
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