Individual provider · Type 1 NPI

Jennifer Lynn Tucholka, PA

Surgical Physician Assistant · Madison, WI

NPI number 1356087464 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 264-8040 Map

Fax (608) 890-9716

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7013-23 (WI)
Physician Assistant 363A00000XNone listed

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About NPI 1356087464

Jennifer Lynn Tucholka, PA's National Provider Identifier is 1356087464, issued on May 11, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Oct 26, 2022.