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Individual

MRS. SHARON L GORSEGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
834 MAIN ST, RACINE, WI 53403-1523
(262) 634-2060
(262) 634-7173
Mailing address
2819 ARLINGTON AVE, RACINE, WI 53403-4209
(262) 632-1242
(262) 632-1242

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
52530-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43949900
WI
Enumeration date
04/06/2007
Last updated
07/09/2007
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