Healthcare Provider Details

I. General information

NPI: 1295186401
Provider Name (Legal Business Name): HOPE MARGARET GUZZO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE MARGARET VILLIARD M.D.

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SOUTH AVE
LA CROSSE WI
54601-5467
US

IV. Provider business mailing address

1836 SOUTH AVE
LA CROSSE WI
54601-5429
US

V. Phone/Fax

Practice location:
  • Phone: 608-782-7300
  • Fax:
Mailing address:
  • Phone: 608-782-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR-10742
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.141405
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number76989
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: