Gailey, Marion R

Gailey, Marion R is an individual health care provider with primary practice located at 525 W River Woods Pkwy, Ste 130 , Glendale WI 53212-1010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gailey, Marion R can be contacted via phone (414) 961-0304.

Contact Information

Primary practice address
525 W River Woods Pkwy, Ste 130 Glendale WI 53212-1010
Phone: (414) 961-0304
Fax: (414) 961-2061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3832 - 23 Wisconsin

Profile Details

NPI number 1265885156
LBN Legal business name Gailey, Marion R
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Aug 24th, 2021 - about 5 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 1265885156 NPPES
Wisconsin MEDICAID 1265885156

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