Individual provider · Type 1 NPI
E. Paul Gander, MD
General Practice Physician · Racine, WI
NPI number
1669637872
Active
Practice location
904 State St
Racine, WI 53404-3346
Fax (262) 632-7988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 13055-20 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1669637872
E. Paul Gander, MD's National Provider Identifier is 1669637872, issued on Jul 28, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Racine, WI. The record was last updated on Jul 28, 2008.