Individual
DR. GINA Y JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24049
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24049
SC
207R00000X
Internal Medicine Physician
24049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57 1060903
TAX ID
—
05
—
GP1566
—
SC
Enumeration date
06/13/2005
Last updated
08/14/2025
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