Individual
TIMOTHY JAMES GOUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 RIST AVE, EAU CLAIRE, WI 54701-4729
(608) 548-4792
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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