# FAMILY & SPORTS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740280676
- **Authorized official:** DR. ROBERT GORDON DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (734) 455-2970

## Contact information

- **Practice address:** 965 S MAIN ST, PLYMOUTH, MI 48170-2048
- **Practice address phone:** (734) 455-2970
- **Practice address fax:** (313) 561-0277
- **Mailing address:** 965 S MAIN ST, PLYMOUTH, MI 48170-2048
- **Mailing address phone:** (734) 455-2970
- **Mailing address fax:** (313) 561-0277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | RG008180 | MI | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 08/22/2020