Provider Demographics
NPI:1639702939
Name:GAUGER, MARGARET A
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:GAUGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:RAPID RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49878-0445
Mailing Address - Country:US
Mailing Address - Phone:262-672-1347
Mailing Address - Fax:
Practice Address - Street 1:7880 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:RAPID RIVER
Practice Address - State:MI
Practice Address - Zip Code:49878-5005
Practice Address - Country:US
Practice Address - Phone:906-474-6020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-15
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer