TIMOTHY MICHAEL GORDON EMT- PARAMEDIC NPI 1972275055

NPI Information

Timothy Michael Gordon, EMT- PARAMEDIC is an emergency medical technician paramedic in Milwaukee, WI. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Timothy Michael Gordon, EMT- PARAMEDIC NPI is 1972275055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10233 W GREENFIELD AVE
MILWAUKEE, WI
ZIP 53214-911
Phone: (414) 727-5750

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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