Search › Michigan › 164W00000X

Gordon Eden

NPI 1891216339 · on the registry since 2017

Practice

Address
305 N 5th St
Roscommon, MI 48653
Phone
(989) 275-8000

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-07-06

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