Dr. Irina Goncharova
Surgeon Vascular Surgeon
2801 W Kinnickinnic River Pkwy Suite 485
Milwaukee
, Wisconsin 53215-3669
Dr. Irina Goncharova
Surgeon Vascular Surgeon
2801 W Kinnickinnic River Pkwy Suite 485
Milwaukee
, Wisconsin 53215-3669
(414) 646-8900
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Irina Goncharova
- 2801 W Kinnickinnic River Pkwy Suite 485
- Milwaukee, WI
- Zip : 53215-3669
- Phone : (414) 646-8900
Second Address
- Dr. Irina Goncharova
- 2801 W Kinnickinnic River Pkwy Suite 485
- Milwaukee, WI
- Zip : 53215-3669
- Phone : (414) 646-8900
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Is Dr. Irina Goncharova a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 03611663 | IL |
| N | 208600000X | Surgeon | 03611663 | IL |
| Y | 2086S0129X | Vascular Surgeon | 49279 | WI |
National Provider Identifier
| NPI | 1104857465 |
|---|---|
| Provider Name | Dr. Irina Goncharova |
| First Address | Milwaukee, WI 53215-3669 |
| Second Address | Milwaukee, WI 53215-3669 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 03/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.