Individual
JONATHAN B TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 287-5899
(608) 251-2332
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61516-20
WI
Other
Enumeration date
04/30/2012
Last updated
01/29/2021
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