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Dr. MARY J GENTINE -- M.D.

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1811945942
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
1703 N TAYLOR DR, SHEBOYGAN, WI, 530811933
Phone
(920) 457-4438
Fax
(920) 457-6748

Specialties & Taxonomies

Family Medicine Primary License: WI #40128-020

All Addresses

MAILING

4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING

GLENDALE, WI, 532121082

(920) 457-4438

LOCATION

1703 N TAYLOR DR

SHEBOYGAN, WI, 530811933

(920) 457-4438