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JOSUE MALDONADO CUSTODIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S8070
TX
2080P0202X
Pediatric Cardiology Physician
Primary
85856-20
WI

Other

Enumeration date
07/15/2016
Last updated
07/18/2025
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