Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN BENJAMIN GORDON, MD
Active Sole ProprietorDR. ETHAN BENJAMIN GORDON, MD is a Family Medicine healthcare provider located in SAGINAW, Michigan. NPI 1760227367 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAGINAW, MI
Registration Details
- NPI Number
- 1760227367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2024 (2.1261088192581 yrs)
- Last Updated
- Jun 26, 2024
- License
-
4351053528 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1575 CONCENTRIC BLVDSAGINAW, MI, 486049311Browse MI providers · Browse ZIP 48604
- Phone
- 9897467766
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SAGINAW, MI
| Name | Credential | NPI |
|---|---|---|
| DR. BRENT BOGGESS | MD | 1407852064 |
| DR. RAGHURAM SARVEPALLI | MD | 1699771261 |
| DR. BHRAMARAMBA SARVEPALLI | MD | 1902803026 |
| MRS. RUTH MARIE LICHT | DO | 1811997463 |
| ANN S. CONNAGHAN | M.D. | 1609869106 |
| ARUP SARKAR | MD | 1477548899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.