Gordon, David S

Gordon, David S is an individual health care provider with primary practice located at 217 S Madison Street , Traverse City MI 49684-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, David S can be contacted via phone (231) 392-8400.

Contact Information

Primary practice address
217 S Madison Street Traverse City MI 49684-2320
Fax: (231) 935-7888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301079204 Michigan

Profile Details

NPI number 1477519940
LBN Legal business name Gordon, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477519940 NPPES
Michigan MEDICAID 4388739

Popular Providers