Individual
DR. GAYLE M KASDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Mailing address
704 S WEBSTER AVE, STE 500, GREEN BAY, WI 54301-3528
(920) 468-9588
(920) 468-1342
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
24544
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30832600
—
WI
Enumeration date
05/24/2005
Last updated
09/05/2019
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