Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEO RAYMOND GONSOWSKI III, DC, CSCS
ActiveDR. LEO RAYMOND GONSOWSKI III, DC, CSCS is a Sports Physician (Chiropractor) healthcare provider located in NEW RICHMOND, Wisconsin. NPI 1851389167 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · NEW RICHMOND, WI
Registration Details
- NPI Number
- 1851389167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.659479323055 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3847-012 (WI)
Practice Information
- Address
-
471 S ARCH AVENEW RICHMOND, WI, 540171832Browse WI providers · Browse ZIP 54017
- Phone
- 7152465600
- Fax
- 7152465806
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.