Individual
KATHERINE ANN GONZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
51711
WI
Other
Enumeration date
02/06/2007
Last updated
01/04/2021
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