Individual
JON C GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5700
(414) 259-9225
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5700
(414) 259-9225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39051
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538120449
—
WI
Enumeration date
03/30/2006
Last updated
06/07/2024
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