Organization
DARRYL T GOLDBERG MD PC
Active
Organization
DARRYL T GOLDBERG MD PC
Active
Other names
The Kalt Goldberg Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR WISKA (OFFICE MANAGER)
(248) 398-2525
Entity
Organization
Contact information
Practice address
30301 WOODWARD AVE STE 101, ROYAL OAK, MI 48073-0981
(248) 398-2525
(248) 398-9286
Mailing address
30301 WOODWARD AVE STE 101, ROYAL OAK, MI 48073-0981
(248) 398-2525
(248) 398-9286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101836
GREAT LAKES HEALTH PLAN
MI
01
—
180F375320
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
3117704
—
MI
01
—
4237942
DETROIT MEDICAL CENTER
MI
Enumeration date
12/18/2006
Last updated
07/29/2025
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