Individual
PETER P GINTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
704 S CLARK ST, THORP, WI 54771-7624
(715) 669-7279
(715) 669-5674
Mailing address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-5530
(715) 644-6223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
486
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42922800
—
WI
Enumeration date
01/13/2006
Last updated
12/11/2009
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