person
Gabriel Lucas Tudahl
Medical Physician Assistant in Madison, Wisconsin
NPI 1285211672

Gabriel Lucas Tudahl is a Medical Physician Assistant based in Middleton, WI and is specialized in Medical. Gabriel Lucas Tudahl practices in Madison, WI. The NPI Number for Gabriel Lucas Tudahl is 1285211672 and holds a License No. (Wisconsin).

The current practice location address for Gabriel Lucas Tudahl is 600 Highland Ave, Madison, WI and can be reached out via phone at 608-263-1690 and via fax at 608-265-1918.

Location: 600 Highland Ave, Madison, WI, 53562-5531
person
Provider Profile Details
NPI Number
1285211672
Provider Name
Gabriel Lucas Tudahl
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Highland Ave, Madison, WI, 53562-5531
Phone Number
608-263-1690
Fax Number
608-265-1918
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Highland Ave
City
State
Zip
53792-4902
Phone Number
608-263-1690
Fax Number
608-265-1918
person
Provider Business Mailing Address Details
Address
600 Highland Ave
City
State
Zip
53792-4902
Phone Number
608-263-1690
Fax Number
608-265-1918
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
7085-23 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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