Individual
KAREN GOTWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, 2ND FLOOR, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-2483
Mailing address
201 N MAYFAIR RD, 2ND FLOOR, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-2483
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28663
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31786900
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2023
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