Individual
MR. DENNIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5320 ELLIOTT DR, YPSILANTI, MI 48197-1032
(734) 712-1049
Mailing address
5320 ELLIOTT DR, YPSILANTI, MI 48197-1032
(734) 712-1049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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