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1194359893
JACOB KENNETH WHEELER
MADISON, WI
NPI
1194359893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
JACOB KENNETH WHEELER PA-S
750 HIGHLAND AVE
MADISON, WI 53705-2221
Phone number: 920-254-0320
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Mailing Address
JACOB KENNETH WHEELER PA-S
750 HIGHLAND AVE
MADISON, WI 53705-2221
Phone number: 920-254-0320
Copy
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