Individual
CONNIE M GEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 HOOVER ST, NEW HOLSTEIN, WI 53061-1636
(920) 898-5627
Mailing address
W4206 US HIGHWAY 151, CHILTON, WI 53014-9658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
225200000X
Physical Therapy Assistant
806-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36111700
—
WI
Enumeration date
05/09/2007
Last updated
08/28/2007
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