Individual
LAUREN GOEDTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3577 W 13 MILE RD, STE 103, ROYAL OAK, MI 48073-6710
(248) 288-4500
(248) 288-1378
Mailing address
301 MARLIN AVE, ROYAL OAK, MI 48067-1323
(248) 288-4500
(248) 288-1378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006722
MI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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