Gorelick, Marc H
Gorelick, Marc H is an individual health care provider with primary practice located at Hospital Based @ Chw Hosp. 9000 West Wisconsin Avenue, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Gorelick, Marc H can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
Hospital Based @ Chw Hosp. 9000 West Wisconsin Avenue
Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 42366 | Wisconsin |
Profile Details
NPI number | 1124079975 |
---|---|
LBN Legal business name | Gorelick, Marc H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124079975 | NPPES |
Wisconsin | MEDICAID | 33337000 |
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