IndividualActive
Jose Gonzales, CO,BOCO
NPI 1235607011 · Orthotist · Mequon, WI
Provider details
- NPI number
- 1235607011
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO,BOCO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12075 Corporate Pkwy Ste 120
Mequon, WI 53092-2664
Phone: (262) 643-4418
Approximate (ZIP-level) locationGet directions
Mailing address
20225 Sutter Creek Dr Apt 208
Brookfield, WI 53045-3931
Registry dates
- Enumerated
- 2018-11-09
- Last updated
- 2018-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.