Individual
MRS. GINA L MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 S 32ND AVE, WAUSAU, WI 54401-4074
(715) 842-2834
(715) 842-2834
Mailing address
515 S 32ND AVE, WAUSAU, WI 54401-4074
(715) 842-2834
(715) 842-2834
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C50000191
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001174343
—
DE
Enumeration date
07/06/2006
Last updated
01/02/2013
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