JEFFREY GORDON RANDALL

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION

Dr JEFFREY GORDON RANDALL is a male medical professional, specializing in Clinical Social Worker. He graduated in 2011.

Contact

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION

4131 MERIDIAN DR
WINDSOR
WI
535989699

Tel: 6088463741

JEFFREY GORDON RANDALL Information

Npi 1780916577
Pac Id 7517222342
Professional Enrollment Id I20180529001868
Last Name RANDALL
First Name JEFFREY
Middle Name GORDON
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Group Practice Pac Id 6608785464
Number Of Group Practice Members 1810
Line 1 Street Address 4131 MERIDIAN DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WINDSOR
State WI
Zip Code 535989699
Phone Number 6088463741
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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