Doctor Name: | MR. DENNIS GORDON |
NPI Number: | 1073625026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | |
Business Practice Address: | 5320 Elliott Dr Ypsilanti, MI - 481971032 |
Business Phone Number: | 7347121049 |
Business Fax Number: | |
Mailing Address: | 5320 Elliott Dr, YPSILANTI |
State: | MI |
Postal Code: | 481971032 |
Phone Number: | 7347121049 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |