Individual
GUSTAVO HENRIQUE BARBOSA DE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD, PHD
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(146) 851-2444
Mailing address
1801 W WISCONSIN AVE OFC 316, MILWAUKEE, WI 53233-2186
(414) 288-6790
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
85140-875
WI
1223P0700X
Prosthodontics
Primary
85140875
WI
Other
Enumeration date
04/16/2025
Last updated
02/04/2026
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