Provider Demographics
NPI:1851488969
Name:GUNN, VERONICA (MD, MPH)
Entity Type:Individual
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First Name:VERONICA
Middle Name:
Last Name:GUNN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:C525
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-3928
Mailing Address - Fax:414-337-7509
Practice Address - Street 1:1020 N 12TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-1308
Practice Address - Country:US
Practice Address - Phone:414-277-8900
Practice Address - Fax:414-277-8939
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2013-11-25
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Provider Licenses
StateLicense IDTaxonomies
WI55492208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1851488969Medicaid