Individual
DR. JOHN LESTER GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
804 SERVICE RD # A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101012751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477563096
—
MI
05
—
4318494
—
MI
Enumeration date
08/08/2006
Last updated
08/29/2016
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