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Justin Mcknight

NPI 1205377892 · on the registry since 2017 · sole proprietor

Practice

Address
115 5th St S Ste 507
La Crosse, WI 54601
Phone
(608) 790-2128

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin