Individual
DOUGLAS G GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
46987
MN
2085R0001X
Radiation Oncology Physician
Primary
47136
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974624200
—
MN
Enumeration date
01/18/2006
Last updated
07/30/2015
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