Individual
JEFFREY HOWARD GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 PARK FOREST DR., SUITE 208, TRAVERSE CITY, MI 49684
(231) 935-5710
(231) 935-9045
Mailing address
4100 PARK FOREST DR., SUITE 208, TRAVERSE CITY, MI 49684-2058
(231) 935-5710
(231) 935-9045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301095691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280037
BCBSM
MI
05
—
1316039142
—
MI
Enumeration date
09/29/2006
Last updated
04/01/2010
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