Individual
MARIGLEN GJONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 HIGHLAND AVE, MADISON, WI 53705-2221
(708) 337-0431
Mailing address
750 HIGHLAND AVE, MADISON, WI 53705-2221
(708) 337-0431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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