Individual
JUSTIN GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E CAPITOL DR STE 2500, APPLETON, WI 54911-8735
(920) 831-5050
(920) 738-6400
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 731-3111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3725 - 23
WI
Other
Enumeration date
09/09/2009
Last updated
03/29/2018
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