Individual
MARYANN GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
32462
MN
208000000X
Pediatrics Physician
Primary
32462
MN
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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