Individual
BRIAN W GASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 ASH STREET, SPOONER, WI 54801
(715) 635-2151
Mailing address
707 ASH STREET, SPOONER, WI 54801
(715) 635-2151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49467
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32810500
—
WI
Enumeration date
04/17/2006
Last updated
04/07/2011
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