Individual
DR. GORDON SRKALOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2890
(517) 364-2886
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301082787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103310801
BCBS INDIVIDUAL PIN
MI
05
—
4550714
—
MI
Enumeration date
09/21/2006
Last updated
07/08/2007
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