Ellen R Gordon, MD is a student in an organized health care education training program in Madison, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ellen R Gordon, MD NPI is 1275910168. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3209 DRYDEN DR
MADISON, WI
ZIP 53704-015
Phone: (608) 241-9020
Fax: (608) 274-0310
The enumeration date for this NPI number is 4/30/2015 and was last updated on 4/30/2015.