Individual
DR. PATRICK MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19000 ST JOE'S PARKWAY, SUITE 160, LIVONIA, MI 48152
(734) 884-5200
(734) 884-5201
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301083472
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083472
MI
Other
Enumeration date
03/19/2007
Last updated
06/18/2021
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