Most Relevant Information
Provider Data
| NPI Number: | 1003198029 |
| Provider Name: | MARCIA ANGELA BOLLES PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2804-023 |
Most Important Dates
| Enumeration Date: | 09/15/2011 |
| Last Updated: | 09/15/2011 |
Provider Practice Location
5249 E TERRACE DR
MADISON
WI
537188339
Practice Location Phone/Fax
| Phone: | 6082229777 |
| Fax: | 6082212646 |
Provider Mailing Location
7954 W OAKBROOK CIR
MADISON
WI
537171676
Provider Mailing Phone/Fax
| Phone: | 6088335609 |
| Fax: |