Individual
ELIZABETH G DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S WESTFIELD RD STE 120, MADISON, WI 53717-1729
(608) 282-8050
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4828-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891147542
—
WI
Enumeration date
07/06/2016
Last updated
03/08/2024
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