BRADLEY INGRAHAM, PA
Physician Assistant
Active
Individual
NPI: 1659368116
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1073 (WI) |
Frequently Asked Questions
NPI 1659368116 is the National Provider Identifier for BRADLEY INGRAHAM, PA, a Physician Assistant provider located in Mauston, WI. This NPI was enumerated on September 30, 2005.
BRADLEY INGRAHAM, PA practices at 1040 DIVISION ST, Mauston, WI 53948.
Quick Facts
- NPI
- 1659368116
- Type
- Individual
- Enumerated
- Sep 30, 2005
- Last Updated
- Jul 8, 2007
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