Organization
THE DOCTORS GROUP P.C.
Active
Other names
South Central ENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GORDON M.D. (PHYSICIAN PARTNER)
(269) 781-4267
Entity
Organization
Contact information
Practice address
215 E MANSION ST, SUITE 2D, MARSHALL, MI 49068-1559
(269) 789-0015
(269) 789-1551
Mailing address
215 E MANSION ST, SUITE 2D, MARSHALL, MI 49068-1559
(269) 789-0015
(269) 789-1551
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A31055
BCBSM
MI
01
—
G00000001424
BLUE CARE NETWORK
MI
Enumeration date
05/16/2006
Last updated
02/19/2008
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