Individual
ETHAN N GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 S TELEGRAPH RD, SUITE 200, BLOOMFIELD HILLS, MI 48302-0285
(248) 335-9207
(248) 335-2394
Mailing address
2520 S TELEGRAPH RD, SUITE 200, BLOOMFIELD HILLS, MI 48302-0285
(248) 335-9207
(248) 335-2394
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301081848
MI
Other
Enumeration date
05/21/2007
Last updated
01/07/2011
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