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Organization
EDWARD S. GORDON DPM PC
Active
Organization
EDWARD S. GORDON DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SERGE GORDON DPM (PRESIDENT)
(586) 779-4820
Entity
Organization
Contact information
Practice address
25656 SCHOENHERR ROAD, WARREN, MI 48089-1447
(586) 779-4820
(586) 779-9535
Mailing address
25656 SCHOENHERR ROAD, WARREN, MI 48089-1447
(586) 779-4820
(586) 779-9535
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
EG0000597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198703
—
MI
Enumeration date
07/15/2005
Last updated
08/22/2020
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