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Contact Information

CORINA L GERCZAK, PA
1800 LAWRENCE DR
DE PERE, WI54115
 Phone: 920-983-3220
 Fax: 920-983-3226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CORINA L GERCZAK · (Female)

NPI Number 1821050105
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/04/2006
Last updated 09/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1960
  • WI Other 1960-023 LICENSE
Hospital affiliation(s)
  • BELLIN MEMORIAL HSPTL - (Acute Care)
    744 S WEBSTER AVE
    GREEN BAY, WI 54305
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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