Julia Gwendolyn Gordon M.D.

NPI 1073666764 - Pediatrics - 2080A0000X

NPI Details
NPI 1073666764
Gender Female
Enumeration Date 01/18/2007
Last Updated 05/01/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
23077 GREENFIELD RD
SUITE 200
SOUTHFIELD MI, 48075-3709, US
Phone (248) 424-8888
Fax (248) 424-8987
Business Location
23077 GREENFIELD RD
SUITE 200
SOUTHFIELD MI, 48075-3709, US
Phone (248) 424-8888
Fax (248) 424-8987
Toxanomy
Taxonomy Code 2080A0000X
License State Michigan
License Number 4301023085
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According to our database, Dr. Julia Gwendolyn Gordon M.D. NPI is 1073666764, taxonomy code is 2080A0000X and license number is 4301023085, license state is located at Michigan. Julia Gwendolyn Gordon M.D. physically located at 23077 Greenfield Rd, Southfield MI, 48075-3709. NPI Number Julia Gwendolyn Gordon M.D. has the Individual type.

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1073666764 NPI number is provided on an as is basis without warranty of any kind. 1073666764 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Gwendolyn Gordon M.D. are for informational purposes only.