Individual
GARY E WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Mailing address
1221 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44759-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144260860
—
WI
Enumeration date
06/08/2006
Last updated
07/14/2022
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