Individual
JOSH GILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 S 16TH ST, SHEBOYGAN, WI 53081-5748
(920) 254-5970
Mailing address
2122 S 16TH ST, SHEBOYGAN, WI 53081-5748
(920) 254-5970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320312-31
WI
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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