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Individual
DR. CRAIG J GORDON
Active
Individual
DR. CRAIG J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5101008584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115532
GREAT LAKES HEALTH PLAN
MI
01
—
1156304464
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
137130
CARE CHOICES
MI
05
—
3404140
—
MI
01
—
4559260
AETNA
MI
01
—
F02038
HAP
MI
Enumeration date
09/30/2005
Last updated
10/29/2019
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