Individual
GWENDOLYN A TANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 CHAPMAN FARMS BLVD, MUKWONAGO, WI 53149-9337
(262) 363-6160
(262) 363-6165
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27095
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30669000
—
WI
Enumeration date
11/15/2006
Last updated
07/02/2025
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