KENNETH B. GORDON

WAUWATOSA, WI
NPI1790865806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: WI  66663)
Additional Taxonomies207N00000X Dermatology
(Licence: IL  036086146)
Enumeration Date2006-10-16
Last Update Date2022-07-26
Business Address
KENNETH B. GORDON M.D.
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226-4321
Phone number: 414-454-8000
Mailing Address
KENNETH B. GORDON M.D.
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226-4321
Phone number: 414-454-8000