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Individual

DR. RITA V GUTTERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
W180N8085 TOWN HALL RD, DEPT OF ANTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 502-3300
Mailing address
W180N8085 TOWN HALL RD, DEPT OF ANTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 502-3300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38481-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050067754
RAIL ROAD MEDICARE
05
1518940329
WI
05
32565900
WI
Enumeration date
11/25/2005
Last updated
12/15/2014
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