Individual
DR. GORDON L TELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5750
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5750
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24631
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000136L
HUMANA
—
05
—
1144267311
—
WI
Enumeration date
05/31/2006
Last updated
10/06/2014
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