Individual
JOHN W. GUCCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1185 CORPORATE CENTER DR, PROHEALTH CARE MEDICAL ASSOCIATES, OCONOMOWOC, WI 53066-4887
(262) 928-8400
Mailing address
1185 CORPORATE CENTER DR, PROHEALTH CARE MEDICAL ASSOCIATES, OCONOMOWOC, WI 53066-4887
(262) 928-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31474600
—
WI
01
—
P00462701
RR MEDICARE
WI
Enumeration date
07/11/2006
Last updated
04/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us