Individual
ROBERT ROLAND GORMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, SUITE M401, KALAMAZOO, MI 49007-5341
(855) 618-2676
(269) 488-3241
Mailing address
601 JOHN ST, SUITE M401, KALAMAZOO, MI 49007-5341
(855) 618-2676
(269) 488-3241
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301072238
MI
207X00000X
Orthopaedic Surgery Physician
MD2004-0315
NM
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
4301072238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BMH
MI
05
—
1518935121
—
MI
05
—
5194435
—
MI
Enumeration date
03/09/2006
Last updated
11/27/2023
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