Gofron, Antoni Jan

Gofron, Antoni Jan is an individual health care provider with primary practice located at 788 N Jefferson St Suite 201, Milwaukee WI 53202-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gofron, Antoni Jan can be contacted via phone (414) 226-4010.

Contact Information

Primary practice address
788 N Jefferson St Suite 201 Milwaukee WI 53202-3718
Fax: (414) 274-6270
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 49567 Wisconsin

Profile Details

NPI number 1871501593
LBN Legal business name Gofron, Antoni Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871501593 NPPES
Wisconsin MEDICAID 1871501593

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