Individual
DR. FREDERIC TROY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1455 W MAIN ST, SUN PRAIRIE, WI 53590-1837
(608) 825-2020
Mailing address
1455 W MAIN ST, SUN PRAIRIE, WI 53590-1837
(608) 825-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1470 035
WI
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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