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Contact Information

LEO R GONSOWSKI III, DC, CSCS
471 S ARCH AVE
NEW RICHMOND, WI54017-1832
 Phone: 715-246-5600
 Fax: 715-246-5806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LEO R GONSOWSKI III · (Male)

NPI # 1851389167
Status Active
Credentials DC, CSCS
Entity Individual
Enumeration date 10/11/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 3847-012
  • MN Other 2C933GO BLUE CROSS & BLUE SHIELD
  • WI Other 666234 CHIROCARE WISCONSIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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