Provider Demographics
NPI:1669665675
Name:PESSIN, JOSHUA P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:P
Last Name:PESSIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3811 SPRING STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405-1667
Mailing Address - Country:US
Mailing Address - Phone:262-687-5850
Mailing Address - Fax:262-687-5804
Practice Address - Street 1:3811 SPRING STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405-1667
Practice Address - Country:US
Practice Address - Phone:262-687-5850
Practice Address - Fax:262-687-5804
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2010-11-16
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Provider Licenses
StateLicense IDTaxonomies
WI51848208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery