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Contact Information

VICKI L GORDON, RN NP
16001 W 9 MILE RD
DEPT OF SURGERY
SOUTHFIELD, MI48075-4818
 Phone: 248-849-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for VICKI L GORDON · (Female)

NPI Number 1326035270
Status Active
Credentials RN NP
Entity Individual
Enumeration date 10/05/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4704147901
  • MI Other 4704147901 LICENSE
Hospital affiliation(s) Not Available
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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