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Individual
GINA ANTOINETTE MUSCATO
Active
Individual
GINA ANTOINETTE MUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3029
WI
363AM0700X
Medical Physician Assistant
3029
WI
363AS0400X
Surgical Physician Assistant
Primary
3029
WI
363AS0400X
Surgical Physician Assistant
385003967
IL
Other
Enumeration date
09/25/2012
Last updated
12/11/2015
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