Individual
KRISTIN M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 WASHINGTON AVE STE D, MOUNT PLEASANT, WI 53406-3952
(262) 884-0600
Mailing address
1281 RIVER PARK CIR E, MUKWONAGO, WI 53149-1023
(262) 352-0898
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1607-60
WI
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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