Individual
JACKSON COOPER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-0000
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151016541
MI
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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