NPI 1003557059

Jacob Alexander Bethel, MD

Practitioner Student in an Organized Health Care Education/Training Program Madison, WI

Practice location

Address: 749 University Row STE 200, Madison, WI 53705-1465
Phone: (608) 263-6400

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003557059
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2022
Record last updated: 7 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.