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Individual

JOANNE G. MARTIN-KOOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2257
(608) 265-1700
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3754
WI
363A00000X
Physician Assistant
Primary
3754-23
WI
363AM0700X
Medical Physician Assistant
3754
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841642865
WI
Enumeration date
07/02/2016
Last updated
09/05/2023
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