Charles Gordon
NPI #1134642655 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1134642655
- Entity Type
- Individual
- Name
- Charles Gordon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3701 12TH ST N STE 202
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-2253
- Phone
- (320) 258-3090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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