GABRIEL LUCAS TUDAHL

MADISON, WI
NPI1285211672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WI  7085-23)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-24
Last Update Date2023-05-23
Business Address
GABRIEL LUCAS TUDAHL
600 HIGHLAND AVE
MADISON, WI 53792-4902
Phone number: 608-263-1690
Mailing Address
GABRIEL LUCAS TUDAHL
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: