Individual
STEVEN HAROLD GOLLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W NORTH DOWN RIVER RD, GRAYLING, MI 49738-2060
(989) 348-0880
(989) 348-5725
Mailing address
1310 SEMINARY ST, KEY WEST, FL 33040-3404
(989) 240-0221
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301045866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524935
—
MI
Enumeration date
10/06/2006
Last updated
04/30/2020
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