Elizabeth A Divyak, PA-C

NPI #1174710560 in Madison, Wisconsin

Provider Information

NPI Number: 1174710560
Entity Type: Individual
Name: Elizabeth A Divyak, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 28, 2007
Last Updated: Jan 18, 2021

Practice Location

Address: 700 S PARK ST
City: Madison
State: Wisconsin
ZIP Code: 53715-1830
Phone: (608) 251-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Physician Assistant	363A00000X	Primary

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