Individual
MICHAEL H GOTLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2830 CORUNNA RD, FLINT, MI 48503-3254
(810) 235-6812
(810) 234-7022
Mailing address
4856 PANORAMA CIR, WEST BLOOMFIELD, MI 48323-2475
(248) 496-5209
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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