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Contact Information

TERRY A GANDER, PA
405 W. 8TH STREET
MONROE, WI53566-1569
 Phone: 217-453-6802
 Fax: 217-453-2149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TERRY A GANDER · (Male)

NPI Number 1528391539
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/09/2009
Last updated 02/29/2016 - About 7 months ago
Sole proprietor 1 No
Identifiers
IL License # 085-004565
WI License # 2500-23
IL Other 085-004565 STATE LICENSE
WI Other 2500-23 WI LICENSE
Hospital affiliation(s) n/a
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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