NPI 1972275055

Timothy Michael Gordon, EMTPARAMEDIC

Practitioner Paramedic Milwaukee, WI

Practice location

Address: 10233 W Greenfield Ave, Milwaukee, WI 53214-3911
Phone: (414) 727-5750
Mailing address: 1497 Rivers Edge Pkwy, Oconomowoc, WI 53066-6908

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 41348 (WI)

Other Emergency Medical Technician, Paramedic providers in Wisconsin →

Registry record

NPI: 1972275055
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2021
Record last updated: 28 Sep 2021

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.