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Individual

DR. BRIAN HARRISON GANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-9438
(608) 263-7502
(608) 265-9695
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
208200000X
PA
208200000X
Plastic Surgery Physician
Primary
65752
WI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
65752
WI

Other

Enumeration date
05/17/2010
Last updated
01/27/2021
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