Individual
XIAN F GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
(920) 926-8963
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32111900
—
WI
Enumeration date
06/03/2006
Last updated
04/12/2021
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