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1760227367
ETHAN BENJAMIN GORDON
SAGINAW, MI
NPI
1760227367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4351053528)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
DR. ETHAN BENJAMIN GORDON MD
1575 CONCENTRIC BLVD
SAGINAW, MI 48604-9311
Phone number: 989-746-7766
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Mailing Address
DR. ETHAN BENJAMIN GORDON MD
102 N WASHINGTON AVE APT 503
SAGINAW, MI 48607-1298
Phone number: 847-707-0413
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