Gospodarek, Michael

Gospodarek, Michael is an individual health care provider with primary practice located at 500 S Oakwood Rd , Oshkosh WI 54904-7944. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gospodarek, Michael can be contacted via phone (920) 223-2000.

Contact Information

Primary practice address
500 S Oakwood Rd Oshkosh WI 54904-7944
Phone: (920) 223-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1089033 Wisconsin

Profile Details

NPI number 1790736452
LBN Legal business name Gospodarek, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 9th, 2010 - about 14 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 1790736452 NPPES
Wisconsin Other 430059327 TRAVELERS
Wisconsin MEDICAID 43320400 TRAVELERS

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