Individual
ROBERT GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6150 W LAYTON AVE, GREENFIELD, WI 53220-4608
(414) 914-9430
Mailing address
PO BOX 20859, MILWAUKEE, WI 53220-0859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42055
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32629500
—
WI
Enumeration date
05/11/2006
Last updated
04/06/2021
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