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Search › Wisconsin › 225200000X

Susan Gillette, PTA

NPI 1063149474 · on the registry since 2022

Practice

Address
100 County Road B
Shawano, WI 54166
Phone
(715) 526-7370
Organisation at this address
Thedacare, Incorporated
Thedacare, Incorporated
Forefront Dermatology, S.C.
Valley Urologic Associates, Sc
Shopko Stores Operating Co., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin