Individual
JAMES G. FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(608) 741-3800
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(608) 741-3800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42975200
—
WI
Enumeration date
03/16/2006
Last updated
07/26/2007
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