Organization
JORDAN CLINICS LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LUKE JORDAN M.D. (PRESIDENT)
(313) 870-3055
Entity
Organization
Contact information
Practice address
5400 E 7 MILE RD, DETROIT, MI 48234-2461
(313) 870-3055
Mailing address
PO BOX 353, SOUTHFIELD, MI 48037-0353
(313) 870-3055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301048252
MI
174400000X
Specialist
4301068359
MI
Other
Enumeration date
10/19/2009
Last updated
11/24/2009
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