Individual
AUSTIN GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Mailing address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166741
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
13255-33
WI
Other
Enumeration date
03/25/2011
Last updated
10/24/2022
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