Individual
DR. RICHARD E GOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 N MASON ST, APPLETON, WI 54914-1353
(920) 731-2356
(920) 731-5354
Mailing address
2830 N MASON ST, APPLETON, WI 54914-1353
(920) 731-2356
(920) 731-5354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
522G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33671300
MEDICAL ASSISTANCE(EDS)
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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