Teresa Marie Gajewski, PA
Physician Assistant in Appleton, WI. Individual provider (NPI-1).
NPI number1508142001
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1508142001
- Entity type
- Individual (NPI-1)
- Name
- Teresa Marie Gajewski
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2011
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2859-23 | WI | Yes |
Other names
- Teresa Marie Stahl (Former Name)
Practice location
145 W Calumet StAppleton, WI 54915-4934
Phone 920-967-4141
Mailing address
145 W Calumet StAppleton, WI 54915-4934
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