Individual
DR. HEIDI MARIE GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2186 W MAIN ST, LOWELL, MI 49331-8637
(616) 897-2020
(616) 897-2041
Mailing address
5157 CLEAR RIDGE DR SE, ADA, MI 49301-8365
(616) 868-0703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004101
MI
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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