Organization
JORDAN & THOMAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LUKE JORDAN M.D. (PRESIDENT)
(313) 579-4555
Entity
Organization
Contact information
Practice address
5575 CONNER ST, DETROIT, MI 48213-6400
(313) 579-4555
Mailing address
PO BOX 15407, DETROIT, MI 48215-0407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BT042967
MI
174400000X
Specialist
SF046607
MI
174400000X
Specialist
Primary
WJ048252
MI
Other
Enumeration date
01/09/2007
Last updated
01/25/2019
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