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Individual

DAVID J. GOLDMAN

Active
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Individual

DAVID J. GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301080520
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180H262240
BLUE CROSS-BLUE CROSS
05
489596410
MI
01
DG080520
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
08/25/2006
Last updated
07/18/2024
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