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Individual

GORDON ROY MARSDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
813 BLUEBIRD PASS, CAMBRIDGE, WI 53523-9293
(608) 695-6872
Mailing address
813 BLUEBIRD PASS, CAMBRIDGE, WI 53523-9293
(608) 695-6872

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2803-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982982351
WI
Enumeration date
08/02/2011
Last updated
03/07/2023
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