person
Ted Kubiak, PAC
Medical Physician Assistant in Madison, Wisconsin
NPI 1497707954

Ted Kubiak is a Medical Physician Assistant based in Middleton, WI and is specialized in Medical. Ted Kubiak practices in Madison, WI and has the professional credentials of PAC. The NPI Number for Ted Kubiak is 1497707954 and holds a License No. 314 (Wisconsin).

The current practice location address for Ted Kubiak is 4122 East Towne Blvd, Madison, WI and can be reached out via phone at 608-242-6865 and via fax at 608-242-6848.

Location: 4122 East Towne Blvd, Madison, WI, 53562-5531
person
Provider Profile Details
NPI Number
1497707954
Provider Name
Ted Kubiak
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
4122 East Towne Blvd, Madison, WI, 53562-5531
Phone Number
608-242-6865
Fax Number
608-242-6848
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4122 East Towne Blvd
City
State
Zip
53704
Phone Number
608-242-6865
Fax Number
608-242-6848
person
Provider Business Mailing Address Details
Address
4122 East Towne Blvd
City
State
Zip
53704
Phone Number
608-242-6865
Fax Number
608-242-6848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
314 (Wisconsin)
Definition
Definition to come...
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