Individual
DR. GORDON LEE BARKLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 W WISCONSIN AVE, 245, MILWAUKEE, WI 53233-2186
(309) 645-1121
Mailing address
1407 N DR. MLK JR. DR., APT 112, MILWAUKEE, WI 53212
(309) 645-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030495
IL
122300000X
Dentist
Primary
1001220-15
WI
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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