Individual
SHELDON J GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418790
—
MI
05
—
4273392
—
MI
01
—
480F317540
BCBS
MI
Enumeration date
08/19/2006
Last updated
05/09/2016
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