Individual
DR. MILLARD R GOLUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13467 23 MILE RD, SHELBY TOWNSHIP, MI 48315-2717
(248) 267-5040
(248) 267-5041
Mailing address
13467 23 MILE RD, SHELBY TOWNSHIP, MI 48315-2717
(248) 267-5040
(248) 267-5041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301039013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1288220
—
MI
Enumeration date
10/26/2005
Last updated
07/17/2013
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