Gatzke, Mary K

Gatzke, Mary K is an individual health care provider with primary practice located at W5726 County T , Watertown WI 53094-9140. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Gatzke, Mary K can be contacted via phone (920) 253-6582.

Contact Information

Primary practice address
W5726 County T Watertown WI 53094-9140
Phone: (920) 253-6582
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2426033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704241650 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2426-33 Wisconsin

Profile Details

NPI number 1205823630
LBN Legal business name Gatzke, Mary K
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 6th, 2021 - about 3 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 1205823630 NPPES
Wisconsin Other P00124270 RR - MEDICARE
Wisconsin Other N97840001 RR - MEDICARE
Wisconsin MEDICAID 43999100 RR - MEDICARE

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