Dr. IRINA GONCHAROVA MD
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1104857465- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2801 W KINNICKINNIC RIVER PKWY SUITE 485, MILWAUKEE, WI, 532153669
- Phone
- (414) 646-8900
Specialties & Taxonomies
Surgery
License: IL #03611663
Unknown
Primary License: WI #49279