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Maddisen Payge Long-pero, PA-C
Physician Assistant in La Crosse, Wisconsin
NPI 1083242663

Maddisen Payge Long-pero is a Physician Assistant based in Madison, WI. Maddisen Payge Long-pero practices in La Crosse, WI and has the professional credentials of PA-C. The NPI Number for Maddisen Payge Long-pero is 1083242663 and holds a License No. 70111568 (Wisconsin).

The current practice location address for Maddisen Payge Long-pero is 1725 State Street, La Crosse, WI and can be reached out via phone at 608-785-5067.

Location: 1725 State Street, La Crosse, WI, 53716-2257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083242663
Provider Name
Maddisen Payge Long-pero
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1725 State Street, La Crosse, WI, 53716-2257
Phone Number
608-785-5067
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083242663 05 WI
institution
Provider Business Practice Location Address Details
Address
1725 State Street
City
La Crosse
State
Wisconsin
Zip
54601
Phone Number
608-785-5067
Fax Number
person
Provider Business Mailing Address Details
Address
1725 State Street
City
La Crosse
State
Wisconsin
Zip
54601
Phone Number
608-785-5067
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
5445 (Wisconsin)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
70111568 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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