Marcia Angela Bolles, PA-C

NPI #1003198029 in Madison, Wisconsin

Provider Information

NPI Number: 1003198029
Entity Type: Individual
Name: Marcia Angela Bolles, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 5249 E TERRACE DR
City: Madison
State: Wisconsin
ZIP Code: 53718-8339
Phone: (608) 222-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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