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1356354658
BRUCE DAVID GORDON
WISCONSIN RAPIDS, WI
NPI
1356354658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WI 19987020)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. BRUCE DAVID GORDON MD
410 DEWEY ST
WISCONSIN RAPIDS, WI 54495-8070
Phone number: 715-423-6060
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Mailing Address
Dr. BRUCE DAVID GORDON MD
PO BOX 8080
WISCONSIN RAPIDS, WI 54495-8080
Phone number: 715-423-6060
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