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Individual

DAVID P GORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022
Mailing address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
138-023
WI
363AS0400X
Surgical Physician Assistant
138-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019562
PHYSICIANS PLUS
WI
01
2155
DEAN HEALTH INSURANCE
WI
05
42900100
WI
01
GORSKDAV
MERCYCARE
WI
Enumeration date
05/12/2006
Last updated
04/16/2012
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