Individual
GINA MARIE LABELLARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3803 SPRING ST, MOUNT PLEASANT, WI 53405-1660
(126) 268-7401
Mailing address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 877-5350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1173677
—
363A00000X
Physician Assistant
Primary
5604-23
WI
Other
Enumeration date
11/04/2021
Last updated
11/19/2021
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