Individual
GWENEVERE CHARLES MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718
(608) 265-1295
(608) 265-0935
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42577
WI
Other
Enumeration date
02/27/2006
Last updated
01/12/2021
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