Individual
DR. BRADLEY W GOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, SUITE G8370, MILWAUKEE, WI 53215-4330
(414) 385-2591
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50484
WI
208M00000X
Hospitalist Physician
Primary
50484
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34932700
—
WI
01
—
P00466888
RR MEDICARE
WI
Enumeration date
06/11/2007
Last updated
07/22/2024
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