Most Relevant Information
Provider Data
| NPI Number: | 1003266768 |
| Provider Name: | ELISABETH GORECKI |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 999730 |
Most Important Dates
| Enumeration Date: | 06/14/2016 |
| Last Updated: | 06/14/2016 |
Provider Practice Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Practice Location Phone/Fax
| Phone: | 4148057782 |
| Fax: |
Provider Mailing Location
9200 W WISCONSIN AVE
FROEDTERT HOSPITAL
MILWAUKEE
WI
53226
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |