Organization
GREAT LAKES PODIATRY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON J GOLDSTEIN DPM (PRESIDENT)
(248) 674-2575
Entity
Organization
Contact information
Practice address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2575
(248) 674-0577
Mailing address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2575
(248) 674-0577
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000581
MI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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