Individual provider · Type 1 NPI

Jordan Vold, PA-C

Medical Physician Assistant · Madison, WI

NPI number 1922383769 Active

Practice location

1102 S Park St
Madison, WI 53715-1708

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 1221 E State St, Rockford, IL 61104-2231 · (815) 972-1000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085004186 (IL)
Medical Physician Assistant Primary 363AM0700X7612 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1922383769

Jordan Vold, PA-C's National Provider Identifier is 1922383769, issued on Oct 12, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Mar 18, 2024.