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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659330793 NPPES
Wisconsin MEDICAID 34436000

Popular Providers