Individual
JOSHUA CHRISOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
Mailing address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5273-023
WI
363AM0700X
Medical Physician Assistant
083504
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138716
—
WI
Enumeration date
08/27/2016
Last updated
11/30/2021
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