Individual
MS. KONWRE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6500
(248) 967-6528
Mailing address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6500
(313) 875-5617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704257255
MI
363LF0000X
Family Nurse Practitioner
Primary
95022974
CA
Other
Enumeration date
08/24/2016
Last updated
12/01/2025
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