Individual
RENE A GELLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1513 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-9611
(920) 623-9611
Mailing address
1513 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-9611
(920) 623-9611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
947-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154384857
—
WI
Enumeration date
04/11/2006
Last updated
11/17/2020
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