Gully, Jonathan

Gully, Jonathan is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Palliative Care-Cancer Center Building, Milwaukee WI 53226-3522. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Gully, Jonathan can be contacted via phone (414) 805-4607.

Contact Information

Primary practice address
9200 W Wisconsin Ave Palliative Care-Cancer Center Building Milwaukee WI 53226-3522
Phone: (414) 805-4607
Fax: (414) 805-4608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235276 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53292-020 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 53292 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 53292 Wisconsin

Profile Details

NPI number 1568650158
LBN Legal business name Gully, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Nov 22nd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568650158 NPPES
Wisconsin MEDICAID 1568650158

Popular Providers