GORO TSUCHIYA MD SC
Medical Practice at 30 Ave, Kenosha, WI

License number
Wisconsin 16499
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: GORO TSUCHIYA MD
Title: PRESIDENT
Phone: (262) 553-9700
Address
Address
3535 30Th Ave SUITE 205, Kenosha, WI 53144
National Provider ID: 1326113309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GORO TSUCHIYA, M.D., S.C

Kenosha, WI

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Goro Tsuchiya MD Sc
Registration:
Aug 22, 1983
Phone:
(262) 553-9704 (Phone)
Addresses:
5525 Grn Bay Rd, Kenosha, WI 53144 (Physical)
3535 30 Ave, Kenosha, WI 53144
State ID:
5T08993
Business type:
Service Corporation
Manager, Office Manager, Registered Nurses:
Goro Tsuchiya Owner, Neurology, Medical Doctor, President, inactive,Mary Kay Tsuchiya Manager, Office Manager, Registered Nurse, inactive

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