Provider Demographics
NPI:1689770877
Name:GUHL, DAVID JOHN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:GUHL
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:20700 WATERTOWN RD STE C
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1800
Mailing Address - Country:US
Mailing Address - Phone:262-544-0700
Mailing Address - Fax:262-544-9017
Practice Address - Street 1:20700 WATERTOWN RD STE 200
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186
Practice Address - Country:US
Practice Address - Phone:262-544-0700
Practice Address - Fax:262-544-9017
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI855025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U92894Medicare UPIN