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Organization

PREFERRED VISITING PHYSICIANS, PC

Active
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Organization

PREFERRED VISITING PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROCELIOUS GOODSON III PA-C (CEO)
(734) 968-8682
Entity
Organization

Contact information

Practice address
36500 FORD RD, SUITE 178, WESTLAND, MI 48185-3769
(734) 968-8682
(734) 727-0992
Mailing address
36500 FORD RD, SUITE 178, WESTLAND, MI 48185-3769
(734) 968-8682
(734) 727-0992

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004396
MI

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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