| Miranda A Guehlstorf, | |
|
5300 Memorial Dr, Two Rivers, WI 54241-3923 | |
| (920) 793-7300 | |
| (920) 793-7391 |
| Full Name | Miranda A Guehlstorf |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437978376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11961 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda A Guehlstorf, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Miranda A Guehlstorf, 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-7300 |
Pamela J Masci, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 | |
Mrs. Michelle K Rusboldt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 | |
Melissa E Charles, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 | |
Ms. Monique M Litersky, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2206a Forest Ave, Two Rivers, WI 54241 Phone: 920-323-5354 | |
Brienna Rose Watson, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 | |
Pafoua C Kue, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 |