Individual provider · NPI-1

Hyee Jin Ahn, PA-C

Physician Assistant · Madison, WI

NPI number1558860171
StatusActive
Last updated in NPPESNov 7, 2024

Details

NPI
1558860171
Entity type
Individual (NPI-1)
Name
Hyee Jin Ahn
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2018
Certification date
Nov 7, 2024
Last updated
Nov 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4298WIYes

Practice location

5105 Flambeau Rd
Madison, WI 53705-1303

Phone 612-991-5636

Mailing address

5105 Flambeau Rd
Madison, WI 53705-1303

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