Metcalf, Gary L

Metcalf, Gary L is an individual health care provider with primary practice located at 4061 Old Peshtigo Rd , Marinette WI 54143-3887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Metcalf, Gary L can be contacted via phone (715) 732-8050.

Contact Information

Primary practice address
4061 Old Peshtigo Rd Marinette WI 54143-3887
Phone: (715) 732-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01065310A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 67784-20 Wisconsin

Profile Details

NPI number 1831216985
LBN Legal business name Metcalf, Gary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 21st, 2022 - 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 1831216985 NPPES
Indiana MEDICAID 200920190
Indiana MEDICAID 100070465
Indiana Other 67784-20
Indiana Other 01065310A

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