Maddisen Payge Long-Pero, PA-C

NPI #1083242663 in La Crosse, Wisconsin

Provider Information

NPI Number: 1083242663
Entity Type: Individual
Name: Maddisen Payge Long-Pero, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 30, 2020
Last Updated: Jul 19, 2021

Practice Location

Address: 1725 STATE STREET
Address 2: 4051 HEALTH SCIENCE CENTER
City: La Crosse
State: Wisconsin
ZIP Code: 54601
Phone: (608) 785-5067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Basic	146N00000X
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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