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NPI Code Detail

MEDICARE: GOJKO D. STULA M.D.

MEDICARE: GOJKO D. STULA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician14406WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235123712
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOJKO D. STULA M.D.
Provider Business Mailing Address
First Line : 3238 S 16TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4535
Country : US
Telephone Number : 414-643-4430
Fax Number : 414-643-4693
Provider Business Practice Location Address
First Line : 3238 S 16TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4535
Country : US
Telephone Number : 414-643-4430
Fax Number : 414-643-4693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 01/16/2012

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Directions to “ GOJKO D. STULA M.D.” Practice Location

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