Gogan, Robert Joseph

Gogan, Robert Joseph is an individual health care provider with primary practice located at 10945 N Port Washington Rd Suite 211, Mequon WI 53092-5078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Gogan, Robert Joseph can be contacted via phone (262) 241-8000.

Contact Information

Primary practice address
10945 N Port Washington Rd Suite 211 Mequon WI 53092-5078
Fax: (262) 241-8096
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22771-020 Wisconsin
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 222771 Wisconsin

Profile Details

NPI number 1366434086
LBN Legal business name Gogan, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 30th, 2009 - about 16 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 1366434086 NPPES
Wisconsin Other 040004274 RRB
Wisconsin MEDICAID 30326800 RRB

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