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Individual

JESSE E GEHRUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4700
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11736
WI

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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