Gabriel Lucas Tudahl
Gabriel Lucas Tudahl is a Physician Assistant in Madison, Wisconsin. Qualified in 2022, 4 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 4
- Licensed in
- WI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Madison, WINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 7085-23 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1285211672 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2021 |
| Last updated in NPPES | May 23, 2023 |
| Certification date | May 23, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | University Of Wisconsin Medical Foundation Inc — 2536 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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