IndividualActive
Josue Maldonado Custodio, M.D.
NPI 1609229525 · Pediatric Cardiology Physician · La Crosse, WI
Provider details
- NPI number
- 1609229525
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- S8070 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
700 West Ave S
La Crosse, WI 54601-4783
Phone: (608) 785-0940
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 860912
Minneapolis, MN 55486-0912
Additional practice locations (1)
- 2450 Riverside AveMinneapolis, MN 55454-1450Phone: (612) 626-2958
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.