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Individual

CORY L GOSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 268-9146
(715) 268-6907
Mailing address
408 KELLER AVE S, AMERY, WI 54001-1220
(715) 268-9146
(715) 268-6907

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3787
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
083M3GO
BCBS OF MN
MN
01
P00086521
RR MEDICARE
WI
Enumeration date
11/13/2006
Last updated
07/08/2007
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