Individual
GUILLERMO EDUARDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1105 4TH AVENUE, WOODRUFF, WI 54568-2061
(715) 356-1606
(715) 356-2170
Mailing address
PO BOX 2061, 1105 4TH AVENUE, WOODRUFF, WI 54568-2061
(715) 356-1606
(715) 356-2170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3390-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38901900
—
WI
Enumeration date
09/15/2006
Last updated
05/12/2016
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