Individual
BRIAN ADAM JAMISON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6034
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12950261-1205
UT
207L00000X
Anesthesiology Physician
Primary
MD222760
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
06/30/2025
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