Provider Demographics
NPI:1437145760
Name:MCCOMB, DAWN M (PA-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:MCCOMB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-1909
Practice Address - Country:US
Practice Address - Phone:608-263-0333
Practice Address - Fax:608-265-6526
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1498-23363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1437145760Medicaid
WI60827OtherDEAN HEALTH INSURANCE
WI41961900Medicaid
WI0441 71018Medicare PIN
WI0574 45300Medicare PIN
WI60827OtherDEAN HEALTH INSURANCE
WI104774150Medicare PIN