Individual
SIDNEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PINE TREE DR, ARDEN HILLS, MN 55112-3754
(719) 717-0068
Mailing address
1005 GRAMSIE RD APT 412, SHOREVIEW, MN 55126-3144
(719) 717-0068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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