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NPI Code Detail

MEDICARE: INTEGRATIVE PULMONARY AND SLEEP MEDICINE PLLC

MEDICARE: INTEGRATIVE PULMONARY AND SLEEP MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1750236162
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE PULMONARY AND SLEEP MEDICINE PLLC
Provider Business Mailing Address
First Line : 2490 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3817
Country : US
Telephone Number : 248-795-1047
Fax Number : 248-795-1048
Provider Business Practice Location Address
First Line : 2490 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-3817
Country : US
Telephone Number : 248-795-1047
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VICTOR GORDON
Credential : MD
Telephone Number : 248-925-8516
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/03/2026

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Directions to “INTEGRATIVE PULMONARY AND SLEEP MEDICINE PLLC ” Practice Location

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