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1497707954
TED KUBIAK
MADISON, WI
NPI
1497707954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 314)
Enumeration Date
2006-05-16
Last Update Date
2015-01-14
Business Address
-- TED KUBIAK PAC
4122 EAST TOWNE BLVD
MADISON, WI 53704
Phone number: 608-242-6865
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Mailing Address
-- TED KUBIAK PAC
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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