Individual
JORDAN LAWRENCE GOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(616) 685-3500
(231) 652-1452
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5244
(231) 727-5223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101025957
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151013982
MI
Other
Enumeration date
06/13/2019
Last updated
08/29/2023
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