Individual
DR. GREGORY L GOYERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 W GRAND ST, 8TH FLOOR, DETROIT, MI 48238-2793
(248) 661-7384
(313) 916-2984
Mailing address
3301 W GRAND ST, 8TH FLOOR, DETROIT, MI 48238-2793
(248) 661-7384
(313) 916-2984
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301046411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0822530
BCBS PPO
MI
01
—
109726
PREFERRED CHOICES PPO
MI
01
—
160055739
RAILROAD MEDICARE
MI
01
—
1607583
FIRST HEALTH
MI
01
—
204801
ONE HEALTH PLAN GREAT WES
MI
01
—
382524226
TRICARE EXTRA, STANDARD,
MI
05
—
4106545-10
—
MI
01
—
4320478
AETNA
MI
01
—
5404716
CCN
MI
01
—
7139017
CIGNA
MI
01
—
F10093
HAP & HAP SENIOR PLUS
MI
01
—
P49682
BCN
MI
Enumeration date
05/08/2006
Last updated
10/12/2011
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