Individual
DR. THEODORE ALFRED PAUL GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 SHAGBARK DR, ROCHESTER HILLS, MI 48309-1816
(248) 626-2252
Mailing address
181 SHAGBARK DR, ROCHESTER HILLS, MI 48309-1816
(248) 626-2252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301028806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705066991
BCBSM
MI
05
—
1072873
—
MI
Enumeration date
09/24/2006
Last updated
02/10/2017
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