Individual
MR. GORDON PHIL GUILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
502 E CUMMINS ST, TECUMSEH, MI 49286
(517) 423-7458
(517) 423-7939
Mailing address
502 E CUMMINS ST, TECUMSEH, MI 49286
(517) 423-7458
(517) 423-7939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006729
MI
208D00000X
General Practice Physician
5101006729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D610230
BLUE CROSS BLUE SHIELD
MI
05
—
3216097
—
MI
Enumeration date
08/08/2006
Last updated
06/14/2019
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