Individual
AMANDA MARGARET GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017
(715) 243-2600
Mailing address
2424 W INDIAN TRL STE B, AURORA, IL 60506-1588
(630) 882-9303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004269
VA
363A00000X
Physician Assistant
12656
MN
363A00000X
Physician Assistant
Primary
4337-23
WI
Other
Enumeration date
06/17/2013
Last updated
05/22/2018
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