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Individual

DR. MICHAEL THOMAS GOLDFARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2051 MONROE ST, DEARBORN, MI 48124-2920
(313) 563-1212
(313) 563-6069
Mailing address
2051 MONROE ST, DEARBORN, MI 48124-2920
(313) 563-1212
(313) 563-6069

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301045024
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1650547
MI
Enumeration date
01/25/2006
Last updated
06/04/2008
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