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Individual

GORDON LEE SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-5329
Mailing address
2172 W LAKE RD, CLIO, MI 48420-8838
(810) 564-1252

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6802071730
MI

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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