Individual
GENA REITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
E4506 MAPLE CT, SPRING GREEN, WI 53588-8807
(608) 209-5250
Mailing address
E4506 MAPLE CT, SPRING GREEN, WI 53588-8807
(608) 209-5250
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
136-049
WI
Other
Enumeration date
04/01/2014
Last updated
03/04/2015
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