Individual
YELENA GOSCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 586-5710
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086696
—
WI
Enumeration date
03/27/2017
Last updated
10/13/2023
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