Individual
THOMAS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 KERCHEVAL AVE STE 100, GROSSE POINTE FARMS, MI 48236-3660
(313) 794-9036
(313) 794-9039
Mailing address
102 KERCHEVAL AVE STE 100, GROSSE POINTE FARMS, MI 48236-3660
(313) 794-9036
(313) 794-9039
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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