Organization
CLINICAL ONCOLOGY ASSOCIATES
Active
Other names
CRAIG J GORDON DO
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MCNEILANCE (PRACTICE ADMINISTRATOR)
(248) 538-9186
Entity
Organization
Contact information
Practice address
30160 ORCHARD LAKE RD, STE 100, FARMINGTON HILLS, MI 48334-2293
(248) 538-1000
(248) 538-9000
Mailing address
30160 ORCHARD LAKE RD, STE 100, FARMINGTON HILLS, MI 48334-2293
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
5101008584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368757
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3404140
—
MI
Enumeration date
09/20/2006
Last updated
08/22/2020
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