Search › Wisconsin › 1223G0001X
Gary Gusmerotti
NPI 1477611432 · on the registry since 2006
Practice
- Address
- 128 Old Abe Rd
Lac Du Flambeau, WI 54538 - Phone
- (715) 588-4280
- Organisation at this address
- Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- PA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-28
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