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Tre Jordan
NPI 1801380654 · on the registry since 2018
Practice
- Address
- 19853 Outer Dr Ste 110
Dearborn, MI 48124 - Phone
- (313) 406-5056
- Fax
- (248) 712-4381
- Clinicians at this address
- 506
Additional practice sites
- 400 Renaissance Ctr Ste 2600, Detroit, MI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
247200000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-12
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