Gander, Terry A.

Gander, Terry A. is an individual health care provider with primary practice located at 405 W. 8Th Street , Monroe WI 53566-1569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gander, Terry A. can be contacted via phone (217) 453-6802.

Contact Information

Primary practice address
405 W. 8Th Street Monroe WI 53566-1569
Phone: (217) 453-6802
Fax: (217) 453-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2500-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-004565 Illinois

Profile Details

NPI number 1528391539
LBN Legal business name Gander, Terry A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2009
Last updated Feb 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528391539 NPPES
Wisconsin Other 2500-23 WI LICENSE
Wisconsin Other 085-004565 WI LICENSE

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