Organization
GEMINICARES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE ANN PETRILLI (CONTROLLER)
(262) 644-7480
Entity
Organization
Contact information
Practice address
840 ENTERPRISE DRIVE, SLINGER, WI 53086-0230
(262) 744-7480
(262) 644-7481
Mailing address
840 ENTERPRISE DR, SLINGER, WI 53086-9135
(262) 744-7480
(262) 644-7481
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008353
—
WI
Enumeration date
08/19/2008
Last updated
04/30/2014
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