Individual
DAVID GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 N 6TH ST, SHEBOYGAN, WI 53083-4963
(920) 451-5559
Mailing address
2743 N PROMENADE CIR, SHEBOYGAN, WI 53081-5066
(954) 347-7032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1732-39
WI
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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