Individual
MADELINE JUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7388 BUSINESS CENTER DR, AVON, IN 46123-6973
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004350A
IN
Other
Enumeration date
04/12/2024
Last updated
07/22/2024
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