Individual
GAN GOLSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 436-4820
Mailing address
861 TUSCANY CT, LEMOORE, CA 93245-9339
(954) 512-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00354700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5760
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/10/2017
Last updated
07/15/2021
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