Organization
BENJAMIN S GOZON MD SC
Active
Other names
Capitol Rehabilitation Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN S GOZON III M.D. (PRESIDENT)
(414) 464-4888
Entity
Organization
Contact information
Practice address
8518 W CAPITOL DR, MILWAUKEE, WI 53222-1827
(414) 464-4888
(414) 464-1850
Mailing address
8518 W CAPITOL DR, MILWAUKEE, WI 53222-1827
(414) 464-4888
(414) 464-1850
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21285100
—
WI
Enumeration date
03/28/2006
Last updated
03/02/2011
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