Individual provider · Type 1 NPI

Gabriel Lucas Tudahl

Medical Physician Assistant · Madison, WI

NPI number 1285211672 Active

Practice location

600 Highland Ave
Madison, WI 53792-4902

Call (608) 263-1690 Map

Fax (608) 265-1918

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X7085-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1285211672

Gabriel Lucas Tudahl's National Provider Identifier is 1285211672, issued on Mar 24, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on May 23, 2023.