Provider Demographics
NPI:1619942513
Name:MCCLIMANS, GORDON A II (DO)
Entity Type:Individual
Prefix:DR
First Name:GORDON
Middle Name:A
Last Name:MCCLIMANS
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4466 W BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3170
Mailing Address - Country:US
Mailing Address - Phone:810-733-1200
Mailing Address - Fax:810-733-3130
Practice Address - Street 1:307 S COURT ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2514
Practice Address - Country:US
Practice Address - Phone:810-667-6110
Practice Address - Fax:810-667-3562
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101012224207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497807333OtherTYPE 2 NPI
200032866OtherRAILROAD MEDICARE
MI0983825OtherHEALTHPLUS
2054400255OtherBCBS OF MICHIGAN
1215930490OtherTYPE 2 NPI
MI4968819Medicaid
MI5440025OtherBLUE CROSS PIN
MI0B51156OtherGRP BLUE CROSS
MI1024033OtherMCLAREN HEALTH PLAN
CB0923OtherGROUP RAILROAD
MI0B51156OtherGRP BLUE CROSS
200032866OtherRAILROAD MEDICARE