Individual
XIANGYUN JOHN DUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76959
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2018
Last updated
08/16/2023
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