Individual
MR. JOSHUA WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4647
WI
363AS0400X
Surgical Physician Assistant
085-002727
IL
363AS0400X
Surgical Physician Assistant
41546
MT
Other
Enumeration date
08/20/2006
Last updated
01/29/2024
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