Individual
GEOFFREY H. GORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36194
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080143982
PALMETTO GBQ RR MEDICARE
—
05
—
32527300
—
WI
Enumeration date
06/16/2005
Last updated
07/15/2014
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