Wippler, Gina Marie

Wippler, Gina Marie is an individual health care provider with primary practice located at 1555 Northway Drive #100 Centracare Clinic Northway Family Medicine, St Cloud MN 56303-1258. 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. Wippler, Gina Marie can be contacted via phone (320) 251-1775.

Contact Information

Primary practice address
1555 Northway Drive #100 Centracare Clinic Northway Family Medicine St Cloud MN 56303-1258
Phone: (320) 251-1775
Fax: (320) 240-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9761 Minnesota

Profile Details

NPI number 1265524136
LBN Legal business name Wippler, Gina Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 27th, 2023 - 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 1265524136 NPPES
Minnesota Other 132M4T0 BCBS
Minnesota MEDICAID 136543600 BCBS
Minnesota Other 0113101 BCBS
Minnesota Other 142448C736 BCBS

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