Individual
GLORIA DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 W NORTH ST., NORWALK, WI 54648-0225
(608) 654-5100
Mailing address
238 FRONT ST, CASHTON, WI 54619-2002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1818
WI
Other
Enumeration date
09/29/2005
Last updated
08/14/2012
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