Organization
RAYMOND M GOGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MICHAEL GOGA O.D. (OWNER)
(715) 443-2248
Entity
Organization
Contact information
Practice address
703 3RD ST., MARATHON, WI 54448-0117
(715) 443-2248
(715) 443-9969
Mailing address
703 3RD ST., MARATHON, WI 54448-0117
(715) 443-2248
(715) 443-9969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1535
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38704700
—
WI
Enumeration date
12/21/2006
Last updated
11/02/2009
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