Individual
STEVEN J GORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218012-2
MN
363L00000X
Nurse Practitioner
Primary
10639
WI
363LA2100X
Acute Care Nurse Practitioner
7564
MN
Other
Enumeration date
06/19/2020
Last updated
01/13/2021
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