Individual provider · Type 1 NPI

Rachel Rose Koshalek

Medical Physician Assistant · Madison, WI

NPI number 1659904100 Active

Practice location

4621 Eastpark Blvd
Madison, WI 53718-2000

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 5249 E Terrace Dr, Madison, WI 53718-8339 · (608) 265-1280

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5120-23 (WI)
Medical Physician Assistant Primary 363AM0700X5120 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1659904100

Rachel Rose Koshalek's National Provider Identifier is 1659904100, issued on Feb 12, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Feb 26, 2025.