Individual provider · Type 1 NPI

Annelise R. Gordon

Family Medicine Physician · Grand Rapids, MI

NPI number 1881521334 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 685-6922 Map

Fax (616) 685-5101

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4351056302 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1881521334

Annelise R. Gordon's National Provider Identifier is 1881521334, issued on May 7, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 9, 2026.