| Family & Sports Medical Center | |
|
965 S Main St Plymouth MI 48170-2048 | |
| (734) 455-2970 | |
| (313) 561-0277 |
| Full Name | Family & Sports Medical Center |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 965 S Main St, Plymouth, Michigan |
| Authorized Official Name and Position | Robert Gordon (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7344552970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Sports Medical Center 965 S Main St Plymouth MI 48170-2048 Ph: (734) 455-2970 | Family & Sports Medical Center 965 S Main St Plymouth MI 48170-2048 Ph: (734) 455-2970 |
| NPI Number | 1740280676 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740280676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | RG008180 (Michigan) | Primary |
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