person
Mr. Martin A Gordon
Addiction (Substance Use Disorder) Counselor in Bayfield, Wisconsin
NPI 1326133323

Martin A Gordon is an Addiction (Substance Use Disorder) Counselor based in Bayfield, WI and is specialized in Addiction (Substance Use Disorder). Martin A Gordon practices in Bayfield, WI. The NPI Number for Martin A Gordon is 1326133323 and holds a License No. 11815 (Wisconsin).

The current practice location address for Martin A Gordon is 37390 N Bradum Rd, Bayfield, WI and can be reached out via phone at 715-779-3741 and via fax at 715-779-3765.

Location: 37390 N Bradum Rd, Bayfield, WI, 54814-0529
person
Provider Profile Details
NPI Number
1326133323
Provider Name
Martin A Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
37390 N Bradum Rd, Bayfield, WI, 54814-0529
Phone Number
715-779-3741
Fax Number
715-779-3765
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39372600 05 WI
institution
Provider Business Practice Location Address Details
Address
37390 N Bradum Rd
City
State
Zip
54814-4832
Phone Number
715-779-3741
Fax Number
715-779-3765
person
Provider Business Mailing Address Details
Address
37390 N Bradum Rd
City
State
Zip
54814-4832
Phone Number
715-779-3741
Fax Number
715-779-3765
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11815 (Wisconsin)
Definition
Definition to come...
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