Gordon, Bruce David

Gordon, Bruce David is an individual health care provider with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54495-8070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gordon, Bruce David can be contacted via phone (715) 423-6060.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54495-8070
Phone: (715) 423-6060
Fax: (715) 421-7517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19987020 Wisconsin

Profile Details

NPI number 1356354658
LBN Legal business name Gordon, Bruce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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