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Individual

GISLAND MONTOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
575 N RIVER ST, WILKES BARRE TOWNSHIP, PA 18702-2634
(570) 208-3310
Mailing address
1005 SCOTT TOWN CTR # 1008, BLOOMSBURG, PA 17815-2356
(570) 849-8896

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS020419
PA

Other

Enumeration date
06/17/2016
Last updated
12/14/2023
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