| Bryan D Gordon, DO | |
|
700 West Ave S., La Crosse, WI 54601-8806 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Bryan D Gordon |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 700 West Ave S., La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518544303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9118 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 77360 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 77360 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan D Gordon, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Bryan D Gordon, DO 700 West Ave S., La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
Amandeep Singh Kalra, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Suren Ravuri, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Carla C Grogan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Michael Lindeke, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 815 10th St S, La Crosse, WI 54601 Phone: 608-784-6648 | |
Olatunde Oladipupo Ola, MD, MPH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 715-838-3635 | |
Janel Lanae Ward, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Mohamed Osman, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |