Wyoming Medical Wellness Center Pc | |
801 East 4th Street Suite 17 Gillette WY 82716-4061 | |
(307) 670-9200 | |
(307) 257-7531 |
Full Name | Wyoming Medical Wellness Center Pc |
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Speciality | Internal Medicine |
Location | 801 East 4th Street, Gillette, Wyoming |
Authorized Official Name and Position | Daniela S. Gerard (OWNER) |
Authorized Official Contact | 3076709200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wyoming Medical Wellness Center Pc 801 East 4th Street Suite 17 Gillette WY 82716-4061 Ph: (307) 670-9200 | Wyoming Medical Wellness Center Pc 801 East 4th Street Suite 17 Gillette WY 82716-4061 Ph: (307) 670-9200 |
NPI Number | 1881246551 |
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Provider Enumeration Date | 07/12/2019 |
Last Update Date | 08/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881246551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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