Bradley Jason Ingraham, PA

NPI #1659368116 in Mauston, Wisconsin

Provider Information

NPI Number
1659368116
Entity Type
Individual
Name
Bradley Jason Ingraham, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Sep 30, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1040 DIVISION ST
ZIP Code
53948-1931
Phone
(608) 847-5000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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