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Individual

DR. TIMOTHY F GOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 535-8400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46571-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34540000
WI
01
391682233013
BCBS
WI
Enumeration date
02/21/2007
Last updated
09/19/2023
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