Carin R Gordon in Wauwatosa - Psychiatry

Carin R Gordon - NPI 1942388681

Carin R Gordon is a Psychiatry in Wauwatosa, Wisconsin. Carin R Gordon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Carin R Gordon is 1942388681. The last update date is 2021-11-22.

Carin R Gordon's current location address is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144546543. The mailing address for Carin R Gordon is 1220 Dewey Ave, Wauwatosa, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carin R Gordon
Address 1220 Dewey Ave, Wauwatosa, Wisconsin
Phone Number 4144546543
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1942388681
Provider Enumeration Date 2006-11-01
Last Updated Date 2021-11-22

Provider Mailing Address Detail

Address 1220 Dewey Ave
City Wauwatosa
State Wisconsin (WI)
Post Code 532132504
Phone Number 4144546543
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 70724
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100094489 WI --

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FAQs about Carin R Gordon

What is the unique provider identifier assigned to Carin R Gordon?

The Carin R Gordon has been issued the NPI (National Provider Identifier) 1942388681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carin R Gordon's facilities are situated?

The facilities of Carin R Gordon are physically located at the following address: 1220 Dewey Ave, Wauwatosa, WI, 532132504.

What is Carin R Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Carin R Gordon is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1942388681 to Carin R Gordon?

The Carin R Gordon received its 1942388681 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details pertaining to Carin R Gordon last refreshed?

The information related to the Carin R Gordon, including its address, specialty, and other relevant details, was last updated on 2021-11-22.

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