Organization
STEVEN GOLLISH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GOLLISH MD (PRESIDENT)
(989) 773-7711
Entity
Organization
Contact information
Practice address
1201 SOUTH DR, SUITE 352, MT PLEASANT, MI 48858-3256
(989) 773-7711
(989) 772-0041
Mailing address
1201 SOUTH DR, SUITE 352, MT PLEASANT, MI 48858-3256
(989) 773-7711
(989) 772-0041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SG045866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524935
—
MI
Enumeration date
08/02/2006
Last updated
08/22/2020
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