NPI | 1336246263 |
---|---|
Doing Business As | CRAIG J GORDON DO |
Entity Type | Organization |
Authorized Contact | DEBORAH MCNEILANCE Practice Administrator 248-538-9186 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MI 5101008584) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |