Ellen M Gordon, MD

NPI #1477668903 in Marshfield, Wisconsin

Provider Information

NPI Number: 1477668903
Entity Type: Individual
Name: Ellen M Gordon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 N OAK AVE
City: Marshfield
State: Wisconsin
ZIP Code: 54449-5777
Phone: (715) 387-9269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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