Individual
KEVIN J GASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 458-3791
(920) 458-3783
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 458-3791
(920) 458-3783
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30754800
—
WI
Enumeration date
10/07/2005
Last updated
11/02/2011
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