Individual
MR. PATRICK ROBERT GANGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
725 AMERICAN AVENUE, WAUKESHA, WI 53188
(262) 298-2447
Mailing address
N24W24070 B SADDLE BROOK DRIVE, PEWAUKEE, WI 53072
(262) 347-0555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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