Individual
DR. STEVEN BRADLEY GOLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD MPH CPH
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82540
WI
208600000X
Surgery Physician
D50663
FL
2086X0206X
Surgical Oncology Physician
D50663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252615
—
WI
05
—
261943100
—
MD
01
—
7685148
AETNA
FL
01
—
998104
WELLCARE
FL
01
—
P01342438
RR MEDICARE
FL
01
—
P01343444
RR MEDICARE
FL
01
—
P04478
FREEDOM
FL
01
—
P203601
OPTIMUM
FL
Enumeration date
06/20/2006
Last updated
11/15/2023
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