NPI 1154583177

Brandon R. Gumbiner, DPM

Practitioner Foot & Ankle Surgery Podiatrist Dixon, IL

Practice location

Address: 215 E 1st St STE 310, Dixon, IL 61021
Phone: (815) 285-5801
Fax: (815) 285-5699
Mailing address: 215 E 1st St STE 310, Dixon, IL 61021-3190

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005377 (IL)

Other Podiatrist providers in Illinois →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 07001081 (IN)

Registry record

NPI: 1154583177
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2008
Record last updated: 12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.