Matthew John Terasa PA-C

NPI 1699926493 - Physician Assistant - 363AS0400X

NPI Details
NPI 1699926493
Gender Male
Enumeration Date 10/10/2008
Last Updated 09/29/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
600 HIGHLAND AVE
MADISON WI, 53792-0001, US
Phone (608) 263-1530
Fax (608) 265-8887
Business Location
7974 UW HEALTH CT
MIDDLETON WI, 53562-5531, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Wisconsin
License Number 2356
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According to our database, Mr. Matthew John Terasa PA-C NPI is 1699926493, taxonomy code is 363AS0400X and license number is 2356, license state is located at Wisconsin. Matthew John Terasa PA-C physically located at 600 Highland Ave, Madison WI, 53792-0001. NPI Number Matthew John Terasa PA-C has the Individual type.

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1699926493 NPI number is provided on an as is basis without warranty of any kind. 1699926493 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew John Terasa PA-C are for informational purposes only.