Individual
GRETCHEN L TOLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2327 NEVA RD, ANTIGO, WI 54409-2912
(715) 623-2123
(715) 623-6556
Mailing address
2327 NEVA RD, ANTIGO, WI 54409-2912
(715) 623-2123
(715) 623-6556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1399-033
WI
363LA2200X
Adult Health Nurse Practitioner
1399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43895600
—
WV
Enumeration date
07/08/2005
Last updated
05/01/2014
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