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Individual

TAYLOR M WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8932
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8932

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5269
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811511181
WI
Enumeration date
06/02/2020
Last updated
03/31/2026
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