David W. Lustig, PA

NPI #1215046800 in Marshfield, Wisconsin

Provider Information

NPI Number
1215046800
Entity Type
Individual
Name
David W. Lustig, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Aug 29, 2006
Last Updated
Aug 19, 2010

Practice Location

Address
1000 N OAK AVE
ZIP Code
54449-5703
Phone
(715) 387-5511

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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