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Deactivated NPI 1851779862 Deactivated / Inactive NPI Female Practitioner

Marilyn J Gander , MA

Technician • Racine, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marilyn Gander has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2015
NPI Deactivation Date July 21, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

Marilyn Gander, MA was a registered Technician practicing in Racine, WI. Throughout an active medical career spanning 7 years, Marilyn Gander provided care at the practice location at 904 STATE ST until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

904 State St

Racine, WI 534043346

Telephone 2626322400
Fax 2626327988

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician in Racine, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Racine, WI (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician Primary Specialty

NUCC Taxonomy Code: 374700000X

State License WI 22207

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. William Little , MD

Internal Medicine - Pulmonary Disease

NPI 1336304542

Doctor of Medicine (M.D.)

Dr. E. Gander , MD

General Practice

NPI 1669637872

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 11, 2015

Registered at 904 STATE ST, RACINE, WI 534043346 (Tel: 2626322400)

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Updated Business Mailing Address May 11, 2015

Registered at 904 STATE ST, RACINE, WI 534043346 (Tel: 2626322400)

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Provider Name / Credentials Updated May 11, 2015

Recorded as MARILYN GANDER, M.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Technician (License #22207 in WI)

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Initial NPI Registration & Enumeration May 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851779862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2015
Last Update: May 11, 2015
Deactivation Date: July 21, 2022

Mailing Address

904 State St

Racine, WI 534043346

Phone: 2626322400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.