Individual
CAROLYN KAY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7603
(608) 828-7644
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(303) 337-5575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4658-23
WI
Other
Enumeration date
03/08/2016
Last updated
01/22/2021
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