Provider Demographics
NPI:1184633562
Name:GOLDEN, PATRICIA F (DO)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 W RAWSON AVE
Mailing Address - Street 2:SUITE G30
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8278
Mailing Address - Country:US
Mailing Address - Phone:414-425-7000
Mailing Address - Fax:414-425-7855
Practice Address - Street 1:7400 W RAWSON AVE
Practice Address - Street 2:SUITE G30
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8278
Practice Address - Country:US
Practice Address - Phone:414-425-7000
Practice Address - Fax:414-425-7855
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI44336207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43598200Medicaid
WIBG8155459OtherDEA LICENSE
WIBG8155459OtherDEA LICENSE
WIH92987Medicare UPIN