Mr Craig M Gorst, PT | |
717 E Alfred St, Weyauwega, WI 54983-9024 | |
(920) 867-3121 | |
(920) 867-3997 |
Full Name | Mr Craig M Gorst |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 717 E Alfred St, Weyauwega, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396967501 | NPI | - | NPPES |
40260200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5191-024 (Wisconsin) | Primary |
2251G0304X | Physical Therapist - Geriatrics | 5191-024 (Wisconsin) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Craig M Gorst, PT 2035 Hamilton St, Oshkosh, WI 54901-1706 Ph: (920) 379-7695 | Mr Craig M Gorst, PT 717 E Alfred St, Weyauwega, WI 54983-9024 Ph: (920) 867-3121 |
Mrs. Cynthia May Wendt, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 717 E. Alfred St. Weyauwaga,, 717 E. Alfred, Weyauwega, WI 54983 Phone: 920-867-3121 Fax: 920-867-3997 | |
Luke Derek Casona Berdin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 717 E Alfred St, Weyauwega, Wi 54983, Weyauwega, WI 54983 Phone: 920-867-3121 |