Individual
DR. MARK GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-7299
Mailing address
7905 CALUMET AVE, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-7299
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01021975
IN
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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