Individual provider · Type 1 NPI

Ted Kubiak, PAC

Medical Physician Assistant · Madison, WI

NPI number 1497707954 Active

Practice location

4122 East Towne Blvd
Madison, WI 53704

Call (608) 242-6865 Map

Fax (608) 242-6848

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X314 (WI)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1497707954

Ted Kubiak, PAC's National Provider Identifier is 1497707954, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Jan 14, 2015.