Individual
DR. GARY THEODORE SWEET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2606 STEWART AVE STE 200, WAUSAU, WI 54401-5449
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47143-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35369600
—
WI
Enumeration date
05/25/2007
Last updated
08/03/2021
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