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Individual

FERRY GUNAWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
(715) 358-1156
Mailing address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
(715) 358-1156

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
73021-20
WI

Other

Enumeration date
06/09/2017
Last updated
12/05/2022
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