Individual
TIMUR GUSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
(414) 274-5611
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017022836
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2017022836
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
83835
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284089
—
WI
Enumeration date
06/10/2014
Last updated
08/20/2024
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