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1861466757
RUSSELL S GONNERING
MILWAUKEE, WI
NPI
1861466757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WI 20265-020)
Enumeration Date
2006-02-15
Last Update Date
2007-12-05
Business Address
-- RUSSELL S GONNERING M.D.
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 262-754-9921
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Mailing Address
-- RUSSELL S GONNERING M.D.
2448 S 102ND ST SUITE 125
WEST ALLIS, WI 53227-2466
Phone number: 414-328-3812
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