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Individual

GEORGE GORCHYNSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Mailing address
7526 MARINER RD, EGG HARBOR, WI 54209-8951
(920) 868-1946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44866
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36074070
IL
Enumeration date
07/03/2006
Last updated
07/24/2024
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