| Gordon Eden, | |
|
305 N 5th St, Roscommon, MI 48653-2508 | |
| (989) 275-8000 | |
| Not Available |
| Full Name | Gordon Eden |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 305 N 5th St, Roscommon, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891216339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703097029 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Eden, 5701 Wellington Way, Grayling, MI 49738-6727 Ph: () - | Gordon Eden, 305 N 5th St, Roscommon, MI 48653-2508 Ph: (989) 275-8000 |
Pamela Lynne Disney, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 217 Newman St, Roscommon, MI 48653 Phone: 989-390-6580 | |
Tara Mallory, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5705 September Ln, Roscommon, MI 48653 Phone: 989-325-0576 |