MR. Edward Gabriel Immekus, PT

NPI #1992977185 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1992977185
Entity Type: Individual
Name: MR. Edward Gabriel Immekus, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 27, 2008
Last Updated: Mar 14, 2021

Practice Location

Address: 10 TOWER DR
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590-1239
Phone: (608) 825-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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