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Individual

MR. MICHAEL R GOINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1311 VIRGINIA ST. E, SUITE 200, CHARLESTON, WV 25301
(304) 353-0200
(304) 353-0337
Mailing address
PO BOX 1628, CHARLESTON, WV 25326
(304) 342-0124
(304) 340-2204

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22146
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001788721
BCBS
WV
05
3810004075
WV
01
6692696
CIGNA
WV
Enumeration date
02/15/2006
Last updated
08/24/2023
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