Individual
MR. GERALD GOZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311
(920) 927-7380
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 927-7380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1116
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42984400
—
WI
Enumeration date
09/22/2006
Last updated
06/26/2018
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