Individual
MRS. SHIRLEY B GUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 W MAIN ST, SUN PRAIRIE, WI 53590-1918
(608) 318-2800
(608) 318-1324
Mailing address
2775 SHADOW TRL, SUN PRAIRIE, WI 53590-9335
(608) 213-5865
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
3747016
WI
174400000X
Specialist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
06/05/2013
Last updated
07/21/2024
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