Gordon I Herz PHD

NPI 1053314344 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1053314344
Gender Male
Enumeration Date 05/31/2005
Last Updated 04/23/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
478 COMMERCE DR
STE 204
MADISON WI, 53719-4993, US
Phone (608) 833-7533
Fax
Business Location
478 COMMERCE DR
STE 204
MADISON WI, 53719-4993, US
Phone (608) 833-7533
Fax
Toxanomy
Taxonomy Code 103G00000X
License State Wisconsin
License Number 1715
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According to our database, Dr. Gordon I Herz PHD NPI is 1053314344, taxonomy code is 103G00000X and license number is 1715, license state is located at Wisconsin. Gordon I Herz PHD physically located at 478 Commerce Dr, Madison WI, 53719-4993. NPI Number Gordon I Herz PHD has the Individual type.

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1053314344 NPI number is provided on an as is basis without warranty of any kind. 1053314344 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon I Herz PHD are for informational purposes only.