Individual
MICHAEL H GOTLIB
Active
Individual
MICHAEL H GOTLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4671291 10
—
MI
05
—
4671335 10
—
MI
05
—
4671353 10
—
MI
05
—
4773694 10
—
MI
Enumeration date
06/22/2006
Last updated
03/30/2009
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