Sydney G Gergen
Student in an Organized Health Care Education/Training Program in Watertown, WI. Individual provider (NPI-1).
NPI number1174436745
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1174436745
- Entity type
- Individual (NPI-1)
- Name
- Sydney G Gergen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | WI | Yes |
Practice location
818 West St Ste 814Watertown, WI 53094-1201
Phone 920-545-4357
Mailing address
467 E Red Pine CirDousman, WI 53118-8831
Phone 262-832-4438
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