Gordon, William Henry

Gordon, William Henry is an sole proprietor health care provider with primary practice located at 44555 Woodward Ave Suite 307, Pontiac MI 48341-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gordon, William Henry can be contacted via phone (248) 858-3939.

Contact Information

Primary practice address
44555 Woodward Ave Suite 307 Pontiac MI 48341-5031
Phone: (248) 858-3939
Fax: (248) 858-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301050191 Michigan

Profile Details

NPI number 1578585659
LBN Legal business name Gordon, William Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578585659 NPPES
Michigan MEDICAID 4181030

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