Individual
DR. GONZALO MADRIGAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(203) 038-7009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75359
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100171925
—
WI
Enumeration date
04/01/2019
Last updated
04/06/2023
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