Individual
GINA WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
917 GABES RD, KRONENWETTER, WI 54455-9067
(715) 212-1633
Mailing address
917 GABES RD., MOSINEE, WI 54455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198250-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336247139
—
WI
Enumeration date
09/30/2015
Last updated
09/30/2015
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