Individual
ALISA ESTHER GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5560 WILDRIDGE LN, WEST BLOOMFIELD, MI 48322-4001
(323) 632-5506
Mailing address
PO BOX 518, BIRMINGHAM, MI 48012-0518
(323) 632-5506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101013607
MI
Other
Enumeration date
07/14/2006
Last updated
08/22/2008
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