Kenneth B. Gordon in Wauwatosa - Dermatology
Kenneth B. Gordon - NPI 1790865806
Kenneth B. Gordon is a Dermatology in Wauwatosa, Wisconsin. Kenneth B. Gordon practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kenneth B. Gordon is 1790865806. The last update date is 2022-07-26.
Kenneth B. Gordon's current location address is 10000 W Bluemound Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144548000 and fax number 4148053888. The mailing address for Kenneth B. Gordon is 10000 W Bluemound Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth B. Gordon |
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Address | 10000 W Bluemound Rd, Wauwatosa, Wisconsin |
Phone Number | 4144548000 |
Fax Number | 4148053888 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1790865806 |
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Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2022-07-26 |
Provider Mailing Address Detail
Address | 10000 W Bluemound Rd |
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City | Wauwatosa |
State | Wisconsin (WI) |
Post Code | 532264321 |
Phone Number | 4144548000 |
Fax Number | 4148053888 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 36086146 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1790865806 | WI | -- |
Post Comment/ Review Below
What is the Kenneth B. Gordon's unique identification number?
The Kenneth B. Gordon has been assigned the NPI (National Provider Identifier) Number 1790865806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth B. Gordon is located?
The Kenneth B. Gordon is situated at the following address: 10000 W Bluemound Rd, Wauwatosa, WI, 532264321.
What is the Kenneth B. Gordon's area of specialization and corresponding taxonomy classification?
The Kenneth B. Gordon's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
When did Kenneth B. Gordon receive its 1790865806 assignment?
The Kenneth B. Gordon was assigned its 1790865806 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth B. Gordon most recently updated?
The details pertaining to the Kenneth B. Gordon, including its address, specialty, and other relevant information, were last refreshed on 2022-07-26.