MR. Martin A Gordon

NPI #1326133323 in Bayfield, Wisconsin

Provider Information

NPI Number
1326133323
Entity Type
Individual
Name
MR. Martin A Gordon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
37390 N BRADUM RD
ZIP Code
54814-4832
Phone
(715) 779-3741

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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