SearchWisconsin106S00000X

Gennessa Orth

NPI 1285304998 · on the registry since 2021 · sole proprietor

Practice

Address
6140 W Executive Drive
Suite B
Mequon, WI 53092
Phone
(262) 788-8088
Clinicians at this address
76

Additional practice sites

  • 1007 28th St, Two Rivers, WI

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-04

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