Organization
MAIN STREET MEDICAL & COUNSELING CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL DENNIS GOLDMAN MD (OWNER)
(734) 972-9184
Entity
Organization
Contact information
Practice address
103 E. MAIN ST., PINCKNEY, MI 48169
(734) 474-1525
(734) 878-5103
Mailing address
103 E MAIN ST, PINCKNEY, MI 48169-8095
(734) 474-1525
(734) 878-5103
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301083561
MI
Other
Enumeration date
04/21/2014
Last updated
02/06/2015
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