Doctor Name: | DAVID P GORSKI |
NPI Number: | 1386695633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 138-023 |
Business Practice Address: | 11051 N Sherman Rd Edgerton, WI - 535349002 |
Business Phone Number: | 6088843354 |
Business Fax Number: | 6088845022 |
Mailing Address: | 11051 N Sherman Rd, EDGERTON |
State: | WI |
Postal Code: | 535349002 |
Phone Number: | 6088843354 |
Fax Number: | 6088845022 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 138-023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |