Individual
DR. JEFFREY B GORELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 N 76TH STREET, WALLWATOSA, WI 53213
(414) 771-2707
Mailing address
2626 N 76TH STREET, WALLWATOSA, WI 53213
(414) 771-2707
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24928
WI
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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