Individual
EMILIO CARLOS FERNANDEZ GATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 W 9TH AVE, SUITE 203, OSHKOSH, WI 54904-7247
(920) 223-2727
Mailing address
2700 W 9TH AVE, SUITE 203, OSHKOSH, WI 54904-7247
(920) 223-2727
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301046470
MI
2084N0400X
Neurology Physician
Primary
52792
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306910311
BCBSM PROVIDER NUMBER
MI
05
—
1992735336
—
WI
Enumeration date
07/03/2006
Last updated
04/25/2009
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