Kelly Laura Gottschalk, STUDENT

NPI #1043995731 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1043995731
Entity Type: Individual
Name: Kelly Laura Gottschalk, STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: STUDENT
Enumeration Date: Jun 20, 2023
Last Updated: Jul 28, 2025

Practice Location

Address: 9200 W WISCONSIN AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53226-3522
Phone: (414) 955-0350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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