Individual
MARK A GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4578
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
75996-20
WI
Other
Enumeration date
03/30/2020
Last updated
03/23/2022
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