Individual
GUY S VALIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4016-23
WI
363AS0400X
Surgical Physician Assistant
4016
WI
Other
Enumeration date
10/06/2009
Last updated
08/09/2022
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