Individual
CHRISTOPHER A JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4429
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2310-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
134432-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41175900
—
WI
Enumeration date
08/02/2005
Last updated
05/01/2024
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