Hamilton, Gurdon H

Hamilton, Gurdon H is an individual health care provider with primary practice located at 1000 N Oak Ave H4W A & Dr, Marshfield WI 54449. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hamilton, Gurdon H can be contacted via phone (715) 387-7090.

Contact Information

Primary practice address
1000 N Oak Ave H4W A & Dr Marshfield WI 54449
Phone: (715) 387-7090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19781 Wisconsin
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 19781 Wisconsin

Profile Details

NPI number 1720188931
LBN Legal business name Hamilton, Gurdon H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720188931 NPPES
Wisconsin MEDICAID 31245000

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