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Individual

VERONIKA GAGOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 847-2557
Mailing address
411 WESTWOOD DRIVE, WAUSAU, WI 54401
(715) 847-2558
(715) 847-2557

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064558A
IN
207RG0100X
Gastroenterology Physician
Primary
52813-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154504538
WI
05
200914860
IN
Enumeration date
12/09/2007
Last updated
11/19/2014
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