Individual
SIDNEY GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301034010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H264410
BLUE CROSS-BLUE CROSS
—
05
—
121424410
—
MI
01
—
SG034010
CHAMPUS-CHAMPUS
—
Enumeration date
01/23/2007
Last updated
07/08/2007
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