Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 67451-20 | WI |
NPI | 1518279199 |
---|---|
Provider Name | Joel T Adler |
First Address | Madison, WI 53705-1816 |
Second Address | Madison, WI 53705-1816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2010 |
Last Update Date | 12/07/2019 |