Individual
DR. MARTIN F MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 SOUTH BLVD E, STE 390, ROCHESTER HILLS, MI 48307-6117
(248) 293-0055
(248) 293-3348
Mailing address
1701 SOUTH BLVD E, STE 390, ROCHESTER HILLS, MI 48307-6117
(248) 293-0055
(248) 293-3348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MM073313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060050053
RAILROAD MEDICARE
MI
05
—
3507497
—
MI
Enumeration date
05/23/2005
Last updated
10/22/2020
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