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NPI Code Detail

MEDICARE: RHETT JUSTESEN PA-C

MEDICARE: RHETT JUSTESEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant8767-23WI
2363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1811859747
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHETT JUSTESEN PA-C
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-4757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 03/11/2026

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Directions to “ RHETT JUSTESEN PA-C” Practice Location

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