Gonzaga, Teresa A

Gonzaga, Teresa A is an individual health care provider with primary practice located at 2605 Development Dr , Green Bay WI 54311-4240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Gonzaga, Teresa A can be contacted via phone (920) 288-8240.

Contact Information

Primary practice address
2605 Development Dr Green Bay WI 54311-4240
Phone: (920) 288-8240
Fax: (920) 857-1488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 69135 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 69135 Wisconsin

Profile Details

NPI number 1073776928
LBN Legal business name Gonzaga, Teresa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Oct 30th, 2023 - about 3 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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