Basic Information
Provider Information
NPI: 1417269424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SYMANSKI
FirstName: MARGARET
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7974 UW HEALTH CT
Address2:  
City: MIDDLETON
State: WI
PostalCode: 535625531
CountryCode: US
TelephoneNumber:  
FaxNumber: 2623291001
Practice Location
Address1: 2601 W BELTLINE HWY
Address2:  
City: MADISON
State: WI
PostalCode: 537132316
CountryCode: US
TelephoneNumber: 6082872434
FaxNumber: 2623291001
Other Information
ProviderEnumerationDate: 07/07/2010
LastUpdateDate: 03/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X2670WIN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700X2670-23WIY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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