Gordon, Michael D
Gordon, Michael D is an individual health care provider with primary practice located at 1218 W Kilbourn Ave Suite 301, Milwaukee WI 53233-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gordon, Michael D can be contacted via phone (414) 276-6000.Contact Information
Primary practice address
1218 W Kilbourn Ave Suite 301
Milwaukee WI 53233-1330
Phone: (414) 276-6000
Fax: (414) 276-1758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 46004 | Wisconsin |
Profile Details
| NPI number | 1659330793 |
|---|---|
| LBN Legal business name | Gordon, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Dec 21st, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659330793 | NPPES |
| Wisconsin | MEDICAID | 34436000 |
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