MEDICARE: JAN MAILLOUX 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
1	363A00000X	Physician Assistant	932-23	WI

General Provider Information

NPI Number	:	1790330256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN MAILLOUX PA-C

Provider Business Mailing Address
First Line	:	2649 COUNTY ROAD A
Second Line	:
City	:	MINERAL POINT
State	:	WI
Zip	:	53565-9123
Country	:	US
Telephone Number	:	608-987-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	856 FAIR ST
Second Line	:
City	:	MINERAL POINT
State	:	WI
Zip	:	53565-1409
Country	:	US
Telephone Number	:	608-987-5987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	08/01/2019

Similar Medicare Providers

1811173313 — PREMISE HEALTH OF WISCONSIN MEDICAL S C
Practice Location Address:

856 FAIR ST
MINERAL POINT, WI
53565-1409

Practice Phone: 605-987-2569
Practice Fax: 608-987-5983

1669481032 — MS. MICHELLE R PETERSON NP
Practice Location Address:

856 FAIR ST
MINERAL POINT, WI
53565-1409

Practice Phone: 608-987-5985
Practice Fax:

1730176520 — MRS. DONNA JOHNSON BSN,MS,CRNP
Practice Location Address:

26840 POINT LOOKOUT RD
LEONARDTOWN, MD
20650-1409

Practice Phone: 301-475-8091
Practice Fax: 301-475-6712

1992842017 — DIANE MARIE TORTORA M.A.
Practice Location Address:

199 ATLANTIC AVE
BLUE POINT, NY
11715-1409

Practice Phone: 631-363-7264
Practice Fax:

1053702670 — EMILY MARIE MILLER PA-C
Practice Location Address:

26840 POINT LOOKOUT RD
LEONARDTOWN, MD
20650-1409

Practice Phone: 301-475-8091
Practice Fax: 301-475-6712

1144679416 — MISS EMILY A GRISNIK PA-C
Practice Location Address:

26840 POINT LOOKOUT RD
LEONARDTOWN, MD
20650-1409

Practice Phone: 301-475-8091
Practice Fax: 301-475-6712

Directions to “ JAN MAILLOUX PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.