Individual
GORDON SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-1550
Mailing address
5011 RUSSELL ST APT 4, MIDLAND, MI 48640-2873
(989) 980-4673
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
1601344
MI
163WN0800X
Neuroscience Registered Nurse
Primary
4704253423
MI
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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