Individual
GINA PAVEGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
430 E DIVISION ST, SURGERY DEPT, FOND DU LAC, WI 54935
(920) 929-2300
Mailing address
430 E DIVISION ST, SURGERY DEPT, FOND DU LAC, WI 54935
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
147461
WI
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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