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Tina Gwitt

NPI 1578742086 · on the registry since 2007 · sole proprietor

Practice

Address
5239 County Rd S
Little Suamico, WI 54141
Phone
(920) 606-8004
Fax
(920) 826-2766

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-31

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