| Mr Craig M Gorst, PT | |
|
717 E Alfred St, Weyauwega, WI 54983-9024 | |
| (920) 867-3121 | |
| (920) 867-3997 |
| Full Name | Mr Craig M Gorst |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 717 E Alfred St, Weyauwega, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396967501 | NPI | - | NPPES |
| 40260200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5191-024 (Wisconsin) | Primary |
| 2251G0304X | Physical Therapist - Geriatrics | 5191-024 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Craig M Gorst, PT 2035 Hamilton St, Oshkosh, WI 54901-1706 Ph: (920) 379-7695 | Mr Craig M Gorst, PT 717 E Alfred St, Weyauwega, WI 54983-9024 Ph: (920) 867-3121 |
Mrs. Cynthia May Wendt, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 717 E. Alfred St. Weyauwaga,, 717 E. Alfred, Weyauwega, WI 54983 Phone: 920-867-3121 Fax: 920-867-3997 | |
Luke Derek Casona Berdin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 717 E Alfred St, Weyauwega, Wi 54983, Weyauwega, WI 54983 Phone: 920-867-3121 |