Organization
FAMILY & SPORTS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON DO (OWNER/PHYSICIAN)
(734) 455-2970
Entity
Organization
Contact information
Practice address
965 S MAIN ST, PLYMOUTH, MI 48170-2048
(734) 455-2970
(313) 561-0277
Mailing address
965 S MAIN ST, PLYMOUTH, MI 48170-2048
(734) 455-2970
(313) 561-0277
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
RG008180
MI
Other
Enumeration date
07/21/2005
Last updated
08/22/2020
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