Gonzaga, Caesar R.

Gonzaga, Caesar R. is an individual health care provider with primary practice located at 2116 Craig Rd , Eau Claire WI 54701-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gonzaga, Caesar R. can be contacted via phone (715) 858-4500.

Contact Information

Primary practice address
2116 Craig Rd Eau Claire WI 54701-6149
Phone: (715) 858-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20512 Wisconsin

Profile Details

NPI number 1083730956
LBN Legal business name Gonzaga, Caesar R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083730956 NPPES
Wisconsin MEDICAID 30994500

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