Individual
DR. KENNETH A GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0996
(248) 336-0123
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0996
(248) 336-0123
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301046023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4185763
—
MI
Enumeration date
12/02/2005
Last updated
02/22/2013
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