Individual
MS. MARY ANN GORSKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 S MADISON ST, WAUPUN, WI 53963-2000
(920) 324-5571
Mailing address
W6278 WILLOW LAWN RD, FOND DU LAC, WI 54937-9282
(920) 923-5599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113883
WI
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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