Individual
PAUL GOLDSHLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1433 E MICHIGAN AVE, LANSING, MI 48912-2111
(517) 482-2020
(517) 482-3664
Mailing address
1433 E MICHIGAN AVE, LANSING, MI 48912-2111
(517) 482-2020
(517) 482-3664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
PG007284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545390
—
MI
Enumeration date
04/06/2006
Last updated
07/08/2007
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