Individual
DR. EOIN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2061 CHEYENNE CT, GRAFTON, WI 53024-9368
(262) 376-1934
(262) 375-2076
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1050
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1050
WI
Other
Enumeration date
07/14/2012
Last updated
11/16/2016
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