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Individual

LOUIS A FALLIGANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 WESTLAWN DR, COTTAGE GROVE, WI 53527-9106
(608) 839-3104
(608) 839-3404
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
47-023
WI
363AM0700X
Medical Physician Assistant
47-023
WI

Other

Enumeration date
04/07/2006
Last updated
02/17/2021
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