Individual
CAESAR R. GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20512
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30994500
—
WI
Enumeration date
03/22/2007
Last updated
07/08/2007
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