Roedel, Gordon Glenn

Roedel, Gordon Glenn is an individual health care provider with primary practice located at 2223 Lime Kiln Rd Ste 1 , Green Bay WI 54311-6213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Roedel, Gordon Glenn can be contacted via phone (920) 430-8113.

Contact Information

Primary practice address
2223 Lime Kiln Rd Ste 1 Green Bay WI 54311-6213
Phone: (920) 430-8113
Fax: (920) 430-8122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 8109 Nebraska
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 82150 Wisconsin

Profile Details

NPI number 1851812937
LBN Legal business name Roedel, Gordon Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Aug 18th, 2023 - about 3 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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