Individual
DR. BOB MATTHEW GOUNTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1033 N MAYFAIR RD, SUITE 303, WAUWATOSA, WI 53226-3442
(414) 778-1455
(414) 810-4052
Mailing address
1033 N MAYFAIR RD, SUITE 303, WAUWATOSA, WI 53226-3442
(414) 778-1455
(414) 810-4052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3517-012
WI
Other
Enumeration date
01/23/2007
Last updated
11/04/2010
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