Individual
ABDIEL JOSE GAUD IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2608-023
WI
363AS0400X
Surgical Physician Assistant
Primary
085004087
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048148
—
WI
Enumeration date
07/28/2010
Last updated
02/03/2026
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