Individual
DR. ALEXIS JO GUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
66899-20
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
66899
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316333859
—
WI
Enumeration date
04/11/2015
Last updated
06/12/2023
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