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Individual

JUSTIN O. ENDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 S PARK ST, MADISON, WI 53715-1375
(608) 287-2450
(608) 287-2331
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49751
WI
207R00000X
Internal Medicine Physician
1695
WI

Other

Enumeration date
05/03/2006
Last updated
01/05/2021
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