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Individual

TANYA R GETCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EMT-IT

Contact information

Practice address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 751-2292
Mailing address
886 HARBOR RD, MILTON, WI 53563-9621
(608) 751-2292

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
36785
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36785
WI LICENSE NUMBER
WI
Enumeration date
06/06/2007
Last updated
09/08/2011
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