Individual
DR. MARILYN BARBARA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1370 N OAKLAND BLVD, 1ST FLOOR, SUITE 120, WATERFORD, MI 48327-4525
(248) 618-3920
(248) 618-3953
Mailing address
6800E 10 MILE RD, CENTER LINE, MI 48015-1167
(586) 756-7777
(810) 458-4187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301089099
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427660
—
MI
Enumeration date
10/12/2009
Last updated
08/19/2015
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