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Individual

DR. GREGORY GOLICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
37625 MICHIGAN AVE, FMC-WAYNE MEDICAL DEPT, WAYNE, MI 48184-1070
(734) 467-0222
(734) 467-0973
Mailing address
37625 MICHIGAN AVE, FMC-WAYNE MEDICAL DEPT, WAYNE, MI 48184-1070
(734) 467-0222
(734) 467-0973

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101008066
MI
2083X0100X
Occupational Medicine Physician
Primary
5101008066
MI

Other

Enumeration date
03/06/2007
Last updated
11/18/2008
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