Individual
PETER W. GOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
(262) 251-7128
Mailing address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28664
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31508300
—
WI
01
—
P00627742
RR MEDICARE
WI
Enumeration date
07/12/2006
Last updated
09/11/2019
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