Individual
DR. WILLIAM LUKE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12900 W.9 MILE ROAD, OAK PARK, MI 48237
(248) 547-9292
(248) 547-2985
Mailing address
P.O. BOX 353, SOUTHFIELD, MI 48037
(248) 547-9292
(248) 547-2985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301048252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4502280
—
MI
Enumeration date
10/18/2005
Last updated
10/23/2013
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