Individual
MOLLY GRACE D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4459-23
WI
363AS0400X
Surgical Physician Assistant
4459-23
WI
Other
Enumeration date
08/10/2018
Last updated
12/17/2025
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