Healthcare Provider Details

I. General information

NPI: 1649191917
Provider Name (Legal Business Name): DAYNA LAINE GESINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 WHIPPLE ST
EAU CLAIRE WI
54703-5200
US

IV. Provider business mailing address

128 LITTLE KILLARNEY BCH
BAY CITY MI
48706-1113
US

V. Phone/Fax

Practice location:
  • Phone: 715-838-3124
  • Fax:
Mailing address:
  • Phone: 989-392-2024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418999
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23541-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: