Individual
JORDAN VOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 263-3111
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085004186
IL
363AM0700X
Medical Physician Assistant
Primary
7612
WI
Other
Enumeration date
10/12/2011
Last updated
03/18/2024
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