Individual
GANNA O MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3863 5TH DR LOT 2, WISCONSIN DELLS, WI 53965-8696
(608) 387-1446
Mailing address
3863 5TH DR LOT 2, WISCONSIN DELLS, WI 53965-8696
(608) 387-1446
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
245620-30
WI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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