Individual
JOEL E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N NINE MOUND RD, VERONA, WI 53593-1032
(608) 845-9531
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48459
MN
207Q00000X
Family Medicine Physician
Primary
81304-20
WI
Other
Enumeration date
06/30/2006
Last updated
01/31/2024
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