Labutale Walawwe Rajaguru, PA-C
Labutale Walawwe Rajaguru, PA-C is a Physician Assistant in Superior, Wisconsin. Qualified in 2023, 3 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 3
- Licensed in
- MN, WI
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3500 Tower AveSuperior, WI 54880-4491
Phone: (715) 817-7100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 7735 (WI) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 14754 (MN) |
Record details
| NPI number | 1346006772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 23, 2024 |
| Last updated in NPPES | February 23, 2024 |
| Certification date | February 23, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Practises at
- Spooner Health System Hospital · Spooner, WI
- St Marys Hospital Superior Hospital · Superior, WI · listed as St Mary's Hospital of Superior
- Spooner Health System Homecare Home health agency · Spooner, WI · listed as Spooner Health System
Colleagues at Advantage Physical Therapy and Sports Rehab, LLC
- Dr. Eric Francis Caporusso, DPM Foot & Ankle Surgery Podiatrist · Altoona, WI
- Dr. Kristin K Cassidy, MD Internal Medicine Physician · Twin Lakes, WI
- Dr. Stephen P Feuerbach, MD Family Medicine Physician · Kenosha, WI
- Christopher A Kordick Student in an Organized Health Care Education/Training Program · Waukesha, WI
- Dr. Kyle M Kubes, DO Orthopaedic Surgery Physician · Duluth, MN
- Dr. Monika McLain, MD Internal Medicine Physician · Bannockburn, IL
- Michael J Nute, DPM Podiatrist · Kenosha, WI
- Fallon Peplinski, DO Family Medicine Physician · Spooner, WI
- Dr. Jawaid Quddus, MD, PHD Family Medicine Physician · Kenosha, WI
- Dr. Michael Josef Slimack, DO Orthopaedic Surgery Physician · Kenosha, WI
- Anne P Stroze, DPM Podiatrist · Mount Pleasant, WI
- Mrs. Michelle Jayne Wagner, MD Family Medicine Physician · Burlington, WI
Other providers in Superior
-
Zoe Kunze, PA-C
2222 E 5th St, Superior, WI 54880-3709 · (715) 392-1955
-
Amy Marie Laflamme, PA
3500 Tower Ave, Superior, WI 54880-5335 · (715) 817-7000
-
Mr. Gregory Michael Lesneski, PA-C
3500 Tower Ave, Superior, WI 54880-4491 · (715) 817-7100
-
James G Potter, PA-C
3500 Tower Ave, Superior, WI 54880-5335 · (715) 817-7100
-
Mr. Cord Thomas Salmela, PA-C
3500 Tower Ave, Superior, WI 54880-4491 · (715) 817-7100
-
Adam M Wennersten, PA-C
2222 E 5th St, Superior, WI 54880-3709 · (715) 392-1955