Individual
SHERYL A GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1087005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087005
—
WI
Enumeration date
08/03/2010
Last updated
01/02/2025
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