Individual
GREGORY E GINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127341121
WI
Other
Enumeration date
11/25/2009
Last updated
03/24/2011
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