Organization
GORO TSUCHIYA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORO TSUCHIYA MD (PRESIDENT)
(262) 553-9700
Entity
Organization
Contact information
Practice address
3535 30TH AVENUE, SUITE 205, KENOSHA, WI 53144-1632
(262) 553-9700
(262) 553-9704
Mailing address
3535 30TH AVENUE, SUITE 205, KENOSHA, WI 53144-1632
(262) 553-9700
(262) 553-9704
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
16499
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31174700
—
WI
Enumeration date
11/22/2006
Last updated
10/21/2010
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