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Robert Gordon
NPI 1235999624 · on the registry since 2024 · sole proprietor
Practice
- Address
- 15212 Salem Ct
Redford, MI 48239 - Phone
- (313) 895-6922
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan