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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