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Contact Information

ROBERT R GORMAN III, MD
601 JOHN ST
SUITE M401
KALAMAZOO, MI49007-5341
 Phone: 855-618-2676
 Fax: 269-488-3241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT R GORMAN III · (Male)

NPI Number 1518935121
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301072238
  • NM License # MD2004-0315
  • MI Medicaid 1518935121
  • MI Medicaid 5194435
  • MI Other 1417961137 BCBSM - BMH
Hospital affiliation(s)
  • BRONSON METHODIST HOSPITAL - (Acute Care)
    601 JOHN STREET 42
    KALAMAZOO, MI 49007
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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