SearchWisconsin282N00000X

Brandon Gibson, DPT

NPI 1841952801 · on the registry since 2021 · sole proprietor

Practice

Address
112 E 5th Ave
Antigo, WI 54409
Phone
(715) 623-9449
Organisation at this address
Langlade Memorial Hospital
Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 6355 N Us Highway 23, Spruce, MI

Registry record

Primary taxonomy
282N00000X
282N00000X
Also registered as
225100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-18

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