Howard J Gollup, MD

NPI #1588695985 in Mequon, Wisconsin

Provider Information

NPI Number: 1588695985
Entity Type: Individual
Name: Howard J Gollup, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 5, 2006
Last Updated: Jan 25, 2011

Practice Location

Address: N112 W17975 MEQUON ROAD
City: Mequon
State: Wisconsin
ZIP Code: 53022
Phone: (262) 532-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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