Individual
STEPHANIE GOGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 E WARWICK DR, ALMA, MI 48801-1092
(989) 463-1101
Mailing address
3736 N LUCE RD, ALMA, MI 48801-9674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301111916
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301503949
MI
Other
Enumeration date
06/21/2017
Last updated
05/10/2021
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