(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003557059
Provider Name: JACOB ALEXANDER BETHEL MD
Entity Type: Individual
Taxonomy Code: 390200000X
Specialty: Student in an Organized Health Care Education/Training Program
License Number:
Most Important Dates
Enumeration Date: 04/05/2022
Last Updated: 05/07/2022
Provider Practice Location
749 UNIVERSITY ROW STE 200
MADISON
WI
537051465
Practice Location Phone/Fax
Phone: 6082636400
Fax:
Provider Mailing Location
749 UNIVERSITY ROW STE 200
MADISON
WI
537051465
Provider Mailing Phone/Fax
Phone: 6082636400
Fax: