Nathan L Gordon D.O.

NPI 1346392602 - Anesthesiology - 207L00000X

NPI Details
NPI 1346392602
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/02/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
111 S GRANT
COLUMBUS MI, 48214-3707, US
Phone (614) 566-5000
Fax
Business Location
19231 BERKELEY RD
DETROIT MI, 48221-1867, US
Phone (313) 345-7888
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Michigan
License Number 5101005592
Remove 1346392602 NPI Number
 

According to our database, Nathan L Gordon D.O. NPI is 1346392602, taxonomy code is 207L00000X and license number is 5101005592, license state is located at Michigan. Nathan L Gordon D.O. physically located at 111 S Grant, Columbus MI, 48214-3707. NPI Number Nathan L Gordon D.O. has the Individual type.

Sponsored links

1346392602 NPI number is provided on an as is basis without warranty of any kind. 1346392602 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan L Gordon D.O. are for informational purposes only.