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NPI Code Detail

MEDICARE: MADISON ELIZABETH HOISINGTON PA-C

MEDICARE: MADISON ELIZABETH HOISINGTON 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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1558191379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON ELIZABETH HOISINGTON PA-C
Provider Business Mailing Address
First Line : 712 DONALDSON ST
Second Line :
City : DE SOTO
State : MO
Zip : 63020-1383
Country : US
Telephone Number : 636-699-6712
Fax Number :
Provider Business Practice Location Address
First Line : 507 N 17TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2104
Country : US
Telephone Number : 414-288-5688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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Directions to “ MADISON ELIZABETH HOISINGTON PA-C” Practice Location

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