Individual
MADISEN MARIE GUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
330 W 5TH ST, EMPORIUM, PA 15834-1012
(814) 512-7231
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010780
PA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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