Individual
DR. MARGERY ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
885 W CONNEXION WAY STE 200, COLUMBIA CITY, IN 46725
(260) 248-9260
(260) 248-9279
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005540A
IN
207Q00000X
Family Medicine Physician
OS009791L
PA
Other
Enumeration date
06/02/2006
Last updated
10/11/2022
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