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THALIA NOEGROHO
Physician Assistant
NPI: 1598229965IndividualAccepts Medicare
Specialties, Licenses & Credentials
Behavior Technician
Behavior Technician
Code: 106S00000X
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
5844-23(WI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 700 S PARK ST STE A
MADISON, WI 53715 - Phone
- (608) 260-2900
Quick Facts
- NPI
- 1598229965
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 4
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