FAMILY & SPORTS MEDICAL CENTER
Osteopathic Medicine at Main St, Plymouth, MI

License number
Michigan RG008180
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: DR. ROBERT GORDON DO
Title: OWNER/PHYSICIAN
Phone: (734) 455-2970
Address
Address
965 S Main St, Plymouth, MI 48170
National Provider ID: 1740280676
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FAMILY & SPORTS MEDICAL CENTER, PC

Plymouth, MI

Status:
Inactive
Industry:
Osteopathic Physician's Office
Doing business as:
Family & Sports Medical Center
Registration:
Jan 1, 1995
Phone:
(734) 455-2970 (Phone)
Addresses:
965 S Main St, Plymouth, MI 48170 (Physical)
Michigan (Mailing)
State ID:
182814
Business type:
Domestic Professional Service Corporation
Expiration:
4-17-2007
Managers:
Robert Gordon (Principal, Medical Doctor, Owner),Shannon Jascoe (Manager)
Agent:
Robert J Gordon

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