Individual
MADELINE GUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(715) 697-4538
Mailing address
1005 LA CROSSE ST, ONALASKA, WI 54650-3341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3043-39
WI
2255A2300X
Athletic Trainer
TCA996
KY
Other
Enumeration date
02/04/2020
Last updated
09/13/2022
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