Individual
WILLIAM GERRITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 MOORMAN DR, WAUPUN, WI 53963-9698
(920) 210-3504
Mailing address
1212 MOORMAN DR, WAUPUN, WI 53963-9698
(920) 210-3504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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