Dr. Teresa A Gonzaga
Plastic and Reconstructive Surgery
245 S Executive Dr Ste 201
Brookfield
, Wisconsin 53005-4204
Dr. Teresa A Gonzaga
Plastic and Reconstructive Surgery
245 S Executive Dr Ste 201
Brookfield
, Wisconsin 53005-4204
(612) 669-3120
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Teresa A Gonzaga
- 413 N 2nd St Unit 690
- Milwaukee, WI
- Zip : 53203-3122
- Phone : (612) 669-3120
Second Address
- Dr. Teresa A Gonzaga
- 245 S Executive Dr Ste 201
- Brookfield, WI
- Zip : 53005-4204
- Phone : (414) 367-9646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 69135 | WI |
National Provider Identifier
| NPI | 1073776928 |
|---|---|
| Provider Name | Dr. Teresa A Gonzaga |
| First Address | Milwaukee, WI 53203-3122 |
| Second Address | Brookfield, WI 53005-4204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2008 |
| Last Update Date | 15/03/2021 |
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.