Individual
MICHAEL GOSPODAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
Mailing address
3420 JACKSON ST, SUITE E, OSHKOSH, WI 54901-8144
(920) 426-2211
(920) 426-2231
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1089033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430059327
TRAVELERS
WI
05
—
43320400
—
WI
Enumeration date
05/15/2006
Last updated
07/09/2010
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