AMANDA TUCKER JACKSON

MADISON, WI
NPI1578583720
Former NameAMANDA AMES TUCKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  50472-20)
Enumeration Date2006-07-20
Last Update Date2011-08-18
Business Address
Dr. AMANDA TUCKER JACKSON MD
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-258-6800
Mailing Address
Dr. AMANDA TUCKER JACKSON MD
371 MEDINAH ST
OREGON, WI 53575-3839
Phone number: 608-291-2140
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