Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE J GORDON III
ActiveCHARLIE J GORDON III is a Driver healthcare provider located in MILWAUKEE, Wisconsin. NPI 1457561045 is currently active in the NPPES registry. Verify at CMS.
Driver · MILWAUKEE, WI
Registration Details
- NPI Number
- 1457561045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.040477960759 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G635-1107-1325-04 (WI)
Practice Information
- Address
-
1000 N 92ND STMILWAUKEE, WI, 532263533Browse WI providers · Browse ZIP 53226
- Phone
- 4144799400
- Fax
- 4142591663
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JOHNNY WALKER JR. | — | 1407976012 |
| RANDALL J MIER | — | 1164630653 |
| PAUL FEILEN | — | 1083823413 |
| BETTY ATKINS | — | 1083823280 |
| ANNIE R CARSON | — | 1346459575 |
| DAVID A NOWAK | — | 1013126259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.