Individual
GONZALO E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2612 E CALUMET ST, APPLETON, WI 54915-4104
(920) 739-6808
(920) 730-7353
Mailing address
2612 E CALUMET ST, APPLETON, WI 54915-4104
(920) 739-6808
(920) 730-7353
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4564-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33718600
—
WI
Enumeration date
06/12/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us