Individual
GENNA MARIE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 UNIVERSITY ROW, MADISON, WI 53705-1311
(608) 890-5090
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8739
WI
363A00000X
Physician Assistant
PA218007
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
06/05/2026
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