| Doctor Name: | SHARON K GOTTSCHALK |
| NPI Number: | 1891845780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. -C |
| License Number: | 5601005038 |
| Business Practice Address: | Us 41 Stephenson, MI - 49887 |
| Business Phone Number: | 9067534665 |
| Business Fax Number: | 9067534336 |
| Mailing Address: | W5607 Evergreen Road, MENOMINEE |
| State: | MI |
| Postal Code: | 49858 |
| Phone Number: | 9064244328 |
| Fax Number: | 9067534366 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601005038 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |