Individual
DR. MARC H GORELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL BASED @ CHW HOSP., 9000 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9000 W WISCONSIN AVE, HOSPITAL BASED @ CHW HOSP., MILWAUKEE, WI 53226-3518
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
42366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33337000
—
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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