Individual
ALEKSANDR GOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30028 W 12 MILE RD, SUITE 31, FARMINGTON HILLS, MI 48334-3916
(917) 797-3090
Mailing address
30028 W 12 MILE RD, SUITE 31, FARMINGTON HILLS, MI 48334-3916
(917) 797-3090
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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