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Michael Goshorn

Family Medicine in West Allis, WI. Individual provider (NPI-1).

NPI number1750737367
StatusActive
Last updated in NPPESJun 17, 2025

Details

NPI
1750737367
Entity type
Individual (NPI-1)
Name
Michael Goshorn
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2016
Certification date
Jun 17, 2025
Last updated
Jun 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine71165WIYes
207Q00000X Family Medicine125-068084IL

Practice location

6609 W Greenfield Ave
West Allis, WI 53214-4958

Phone 414-257-8500 · Fax 414-257-8505

Mailing address

Po Box 735044
Chicago, IL 60673-5044

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