Victor Gordon DO

NPI 1053319079 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1053319079
Gender Male
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
28100 GRAND RIVER AVE
SUITE 204
FARMINGTON HILLS MI, 48336-5967, US
Phone (248) 471-3844
Fax
Business Location
28100 GRAND RIVER AVE
SUITE 204
FARMINGTON HILLS MI, 48336-5967, US
Phone (248) 471-3844
Fax
Toxanomy
Taxonomy Code 208100000X
License State Michigan
License Number VG004757
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According to our database, Dr. Victor Gordon DO NPI is 1053319079, taxonomy code is 208100000X and license number is VG004757, license state is located at Michigan. Victor Gordon DO physically located at 28100 Grand River Ave, Farmington Hills MI, 48336-5967. NPI Number Victor Gordon DO has the Individual type.

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1053319079 NPI number is provided on an as is basis without warranty of any kind. 1053319079 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Gordon DO are for informational purposes only.