| Wyoming Medical Wellness Center Pc | |
|
801 East 4th Street Suite 17 Gillette WY 82716-4061 | |
| (307) 670-9200 | |
| (307) 257-7531 |
| Full Name | Wyoming Medical Wellness Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 East 4th Street, Gillette, Wyoming |
| Authorized Official Name and Position | Daniela S. Gerard (OWNER) |
| Authorized Official Contact | 3076709200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Medical Wellness Center Pc 801 East 4th Street Suite 17 Gillette WY 82716-4061 Ph: (307) 670-9200 | Wyoming Medical Wellness Center Pc 801 East 4th Street Suite 17 Gillette WY 82716-4061 Ph: (307) 670-9200 |
| NPI Number | 1881246551 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881246551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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