Gottschall, Jerome L

Gottschall, Jerome L is an individual health care provider with primary practice located at Hospital Based @ Froedtert Hosp. 9200 West Wisconsin Avenue, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as his primary health care specialty. Gottschall, Jerome L can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
Hospital Based @ Froedtert Hosp. 9200 West Wisconsin Avenue Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 22688 Wisconsin

Profile Details

NPI number 1922052299
LBN Legal business name Gottschall, Jerome L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922052299 NPPES
Wisconsin MEDICAID 30432400

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