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Individual

DR. GERALD M. WAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2251 N SHORE DR, RHINELANDER, WI 54501
(715) 361-4700
Mailing address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-4700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
124
WI
208600000X
Surgery Physician
32076
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32076
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159566
IA
Enumeration date
06/09/2006
Last updated
01/06/2021
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