Individual
DR. JOHN EDWARD GORZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1021 JEFFERSON ST, ALGOMA, WI 54201-1737
(920) 487-2020
(920) 487-5022
Mailing address
N 7881 WILLOW DR, ALGOMA, WI 54201-9699
(920) 487-2077
(920) 487-9770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1997
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000247383
MEDICARE PTAN
WI
05
—
38574100
—
WI
05
—
38709200
—
WI
Enumeration date
12/09/2005
Last updated
04/21/2009
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