Individual
CATHERINE GAEHWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2201 SOUTH AVE, STE B, SOUTH LAKE TAHOE, CA 96150-7025
(530) 543-5623
(530) 541-5738
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194709824
—
CA
Enumeration date
12/06/2005
Last updated
09/20/2012
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