Organization
DR GORDON L ROBERTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON LEE ROBERTS DC (OWNER)
(269) 751-2670
Entity
Organization
Contact information
Practice address
3426 M-40, HAMILTON, MI 49419
(269) 751-2670
(269) 751-2680
Mailing address
3426 M-40, HAMILTON, MI 49419
(269) 751-2670
(269) 751-2680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GR004365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4718950
—
MI
01
—
650240
UNITED HEALTH CARE
MI
01
—
9502310340
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/19/2007
Last updated
02/25/2013
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