Mcintosh, Gwenevere Charles

Mcintosh, Gwenevere Charles is an individual health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcintosh, Gwenevere Charles can be contacted via phone (608) 265-1295.

Contact Information

Primary practice address
5249 E Terrace Dr Madison WI 53718
Fax: (608) 265-0935
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42577 Wisconsin

Profile Details

NPI number 1487620647
LBN Legal business name Mcintosh, Gwenevere Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 12th, 2021 - about 4 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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