Gudeman, Jon

Gudeman, Jon is an individual health care provider with primary practice located at Milw County Mental Health Complex 9455 Watertown Plank Road, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gudeman, Jon can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
Milw County Mental Health Complex 9455 Watertown Plank Road Milwaukee WI 53226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 28238 Wisconsin

Profile Details

NPI number 1457302275
LBN Legal business name Gudeman, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
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 1457302275 NPPES
Wisconsin MEDICAID 30827000

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