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Contact Information

TED KUBIAK, PAC
4122 EAST TOWNE BLVD
MADISON, WI53704
 Phone: 608-242-6865
 Fax: 608-242-6848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TED KUBIAK · (Male)

NPI # 1497707954
Status Active
Credentials PAC
Entity Individual
Enumeration date 05/16/2006
Last updated 01/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 314
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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