Provider Demographics
NPI:1902010416
Name:STRAUB, MARGARET ROSE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ROSE
Last Name:STRAUB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE
Mailing Address - Street 2:K4-B100 CLINICAL SCIENCE CENTER
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:608-263-8500
Mailing Address - Fax:608-263-9167
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:K4-B100 CLINICAL SCIENCE CENTER
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-8500
Practice Address - Fax:608-263-9167
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI0936363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIS82451Medicare UPIN