Organization
GW MEDICAL STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL LONGLE (OWNER)
(414) 479-9923
Entity
Organization
Contact information
Practice address
9030 W HADLEY ST, MILWAUKEE, WI 53222-4634
(414) 479-9923
Mailing address
2272 S 4TH ST, APT B, MILWAUKEE, WI 53207-1108
(414) 324-1009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
228119
WI
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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