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Individual
BRYAN D GORDON
Active
Individual
BRYAN D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
77360
WI
207Q00000X
Family Medicine Physician
9118
WI
208M00000X
Hospitalist Physician
Primary
77360
WI
Other
Enumeration date
03/26/2021
Last updated
06/21/2024
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