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Organization
MEDICAL COLLEGE OF WISCONSIN
Active
Organization
MEDICAL COLLEGE OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANNE GORDON-MEYER APNP (ADVANCE PRACTICE NURSE PRESCRIBER)
(414) 378-6212
Entity
Organization
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6717
Mailing address
2630 S 88TH ST, WEST ALLIS, WI 53227-2736
(414) 378-6212
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4138-33
WI
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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