NPI 1033118658

Edward S. Gordon DPM PC

Organisation Podiatrist Warren, MI

Practice location

Address: 25656 Schoenherr Road, Warren, MI 48089-1447
Phone: (586) 779-4820
Fax: (586) 779-9535

Authorised official

Name: Edward Serge Gordon
Title: President
Phone: (586) 779-4820

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence EG0000597 (MI)

Other Podiatrist providers in Michigan →

Registry record

NPI: 1033118658
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.