person
Ellen R Gordon, MD
Student in an Organized Health Care Education/Training Program in Madison, Wisconsin
NPI 1275910168

Ellen R Gordon is a Student in an Organized Health Care Education/Training Program based in Middleton, WI. Ellen R Gordon practices in Madison, WI and has the professional credentials of MD. The NPI Number for Ellen R Gordon is 1275910168 and holds a License No. (Wisconsin).

The current practice location address for Ellen R Gordon is 3209 Dryden Dr, Madison, WI and can be reached out via phone at 608-241-9020 and via fax at 608-274-0310.

Location: 3209 Dryden Dr, Madison, WI, 53562-5531
person
Provider Profile Details
NPI Number
1275910168
Provider Name
Ellen R Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3209 Dryden Dr, Madison, WI, 53562-5531
Phone Number
608-241-9020
Fax Number
608-274-0310
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3209 Dryden Dr
City
State
Zip
53704-3015
Phone Number
608-241-9020
Fax Number
608-274-0310
person
Provider Business Mailing Address Details
Address
3209 Dryden Dr
City
State
Zip
53704-3015
Phone Number
608-241-9020
Fax Number
608-274-0310
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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