Individual
SARAH J GUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54935-2999
(920) 907-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3161-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36039400
—
WI
Enumeration date
08/01/2007
Last updated
11/28/2023
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