Individual
GRETCHEN JEAN GEROVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11896
WI
363LG0600X
Gerontology Nurse Practitioner
8158
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124602081
—
WI
Enumeration date
05/07/2021
Last updated
10/18/2022
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