Individual provider · NPI-1

Sarah Beth Affeldt, PAC

Physician Assistant, Medical · Madison, WI

NPI number1508814351
StatusActive
Last updated in NPPESJan 13, 2021

Details

NPI
1508814351
Entity type
Individual (NPI-1)
Name
Sarah Beth Affeldt
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
May 4, 2006
Certification date
Jan 13, 2021
Last updated
Jan 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical1120WIYes

Practice location

600 Highland Avenue
Madison, WI 53792

Phone 608-263-0946 · Fax 608-263-9103

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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