Jack William Gordon, MD

NPI #1578595427 in Crosby, Minnesota

Provider Information

NPI Number: 1578595427
Entity Type: Individual
Name: Jack William Gordon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 7, 2006
Last Updated: Oct 30, 2014

Practice Location

Address: 320 EAST MAIN STREET
City: Crosby
State: Minnesota
ZIP Code: 56441
Phone: (218) 546-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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