Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH B. GORDON, M.D.
ActiveKENNETH B. GORDON, M.D. is a Dermatology healthcare provider located in WAUWATOSA, Wisconsin. NPI 1790865806 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WAUWATOSA, WI
Registration Details
- NPI Number
- 1790865806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.799911128244 yrs)
- Last Updated
- Jul 26, 2022
- Licenses
-
036086146 (IL)66663 (WI)
Practice Information
- Address
-
10000 W BLUEMOUND RDWAUWATOSA, WI, 532264321Browse WI providers · Browse ZIP 53226
- Phone
- 4144548000
- Fax
- 4148053888
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in WAUWATOSA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES H BARNETT | M.D. | 1366442691 |
| DR. EDIT B OLASZ HARKEN | M.D., PH.D | 1548333024 |
| KERI CHANEY | M.D. | 1154467827 |
| DR. KAROLYN A WANAT | MD | 1396908216 |
| JULIA MARIAN KASPRZAK | M.D. | 1023247442 |
| DR. MELANIE ANNE CLARK | M.D. | 1033464185 |
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.