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Individual

HARRISON M GIMBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2844 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7979
(608) 229-8110
Mailing address
2844 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7979

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
69185-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184042723
WV
Enumeration date
04/01/2014
Last updated
07/21/2022
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