Individual provider · Type 1 NPI

Sydney G. Gergen

Student in an Organized Health Care Education/Training Program · Watertown, WI

NPI number 1174436745 Active

Practice location

818 West St Ste 814
Watertown, WI 53094-1201

Mailing address

467 E Red Pine Cir
Dousman, WI 53118-8831

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174436745

Sydney G. Gergen's National Provider Identifier is 1174436745, issued on Sep 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Watertown, WI. The record was last updated on Sep 24, 2026.