MARY J GENTINE

SHEBOYGAN, WI
NPI1811945942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  40128-020)
Enumeration Date2006-05-04
Last Update Date2012-06-12
Business Address
Dr. MARY J GENTINE M.D.
1703 N TAYLOR DR
SHEBOYGAN, WI 53081-1933
Phone number: 920-457-4438
Mailing Address
Dr. MARY J GENTINE M.D.
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 920-457-4438