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Contact Information

MARY P GOSPODAREK, APNP
2219 GARFIELD ST
TWO RIVERS, WI54241
 Phone: 920-793-2281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY P GOSPODAREK · (Female)

NPI # 1386683563
Status Active
Credentials APNP
Entity Individual
Enumeration date 06/05/2006
Last updated 11/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1539
  • WI Medicaid 43904900
Hospital affiliation(s)
  • AURORA MED CTR MANITOWOC CTY - (Acute Care)
    5000 MEMORIAL DRIVE
    TWO RIVERS, WI 54241
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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