Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2246-012 | WI |
NPI | 1750486338 |
---|---|
Provider Name | Dr. Donn Thomas Gurske |
First Address | Milwaukee, WI 53222-4516 |
Second Address | Milwaukee, WI 53222-4516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38868200 | (05) | WI |
T62084 | (02) |