Individual
DR. BRIAN SPENCER GOOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3802 W KALAMAZOO ST, LANSING, MI 48917-3653
(517) 485-7300
(517) 485-7301
Mailing address
3802 W KALAMAZOO ST, LANSING, MI 48917-3653
(517) 485-7300
(517) 485-7301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
BG001798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700022
PHYSICIANS HEALTH PLAN
MI
05
—
3247656
—
MI
01
—
4852310360
BLUE CROSS
MI
Enumeration date
11/03/2006
Last updated
07/08/2007
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