Individual
WHITNEY LEIGH GERVELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
020056498
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
75079
WI
390200000X
Student in an Organized Health Care Education/Training Program
11017751A
IN
Other
Enumeration date
06/09/2014
Last updated
07/08/2021
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