SearchWisconsin122300000X

Gerald Corcoran, DDS

NPI 1851554521 · on the registry since 2008 · sole proprietor

Practice

Address
210 N Main St
Suite 103
De Forest, WI 53532
Phone
(608) 846-3948
Fax
(608) 846-7526
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin