Individual
DR. GARY THOMAS COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD CCC A
Contact information
Practice address
410 S THIRD ST, SPEECH & HEARING CLINIC, RIVER FALLS, WI 54022
(715) 425-6801
(715) 425-3800
Mailing address
410 S THIRD ST, SPEECH & HEARING CLINIC, RIVER FALLS, WI 54022
(715) 425-6801
(715) 425-3800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
123156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005569
HUMANA PREFFERED ONE
—
01
—
41050400
HEALTH PARTNERS
—
05
—
41125400
—
WI
01
—
4680415
MEDICA
—
01
—
56443CO
BCBS
MN
01
—
56443CO
BCBS
WI
01
—
7662082
ATENA
—
Enumeration date
02/02/2007
Last updated
07/08/2007
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