Individual
DR. SANDRA W. GORDON-KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3237 S. 16TH ST., ST. FRANCIS HOSPITAL, 6TH FLOOR, MILWAUKEE, WI 53215
(414) 647-5210
Mailing address
10708 N ESSEX CT, MEQUON, WI 53092-8533
(262) 242-9413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47304-020
WI
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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