Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 49369 | WI |
N | 2084V0102X | Vascular Neurology | 49369 | WI |
NPI | 1013965185 |
---|---|
Provider Name | Dr. Justin Alan Sattin |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 26/01/2021 |