# BENJAMIN S GOZON MD SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capitol Rehabilitation Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669433066
- **Authorized official:** DR. BENJAMIN S GOZON III M.D. (PRESIDENT)
- **Authorized official phone:** (414) 464-4888

## Contact information

- **Practice address:** 8518 W CAPITOL DR, MILWAUKEE, WI 53222-1827
- **Practice address phone:** (414) 464-4888
- **Practice address fax:** (414) 464-1850
- **Mailing address:** 8518 W CAPITOL DR, MILWAUKEE, WI 53222-1827
- **Mailing address phone:** (414) 464-4888
- **Mailing address fax:** (414) 464-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 03/02/2011