Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JASON INGRAHAM, PA
ActivePhysician Assistant · MAUSTON, WI
Registration Details
- NPI Number
- 1659368116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (20.590800288756 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1073 (WI)
Practice Information
- Address
-
1040 DIVISION STMAUSTON, WI, 539481931Browse WI providers · Browse ZIP 53948
- Phone
- 6088475000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MAUSTON, WI
| Name | Credential | NPI |
|---|---|---|
| SAMUEL GREGORY WILLIAMS | PAC | 1871580332 |
| NANCY RUTH VANDEWEGHE | PA | 1053308544 |
| CATHERINE KIDD | PA | 1770573917 |
| RANDALL SCOTT BRANDT | PAC | 1710978754 |
| CHRISTI H. WILLIAMS | PAC | 1174504450 |
| LYNN M SCHUEBEL | PA-C | 1396793329 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.