Search › Wisconsin › 164W00000X
Randal Gereau, LPN
NPI 1275825077 · on the registry since 2011 · sole proprietor
Practice
- Address
- 127 Beth Cir
Plymouth, WI 53073 - Phone
- (920) 892-7044
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-11
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