Individual
BRYAN D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 WEST AVE S., LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
77360
WI
207Q00000X
Family Medicine Physician
9118
WI
208M00000X
Hospitalist Physician
Primary
77360
WI
Other
Enumeration date
03/26/2021
Last updated
06/21/2024
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