Individual
A SANDOR GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30210
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871646554
—
WI
05
—
31481700
—
WI
01
—
GOLDSASA
MERCYCARE INSURANCE
WI
01
—
P00995128DB7792
RR MEDICARE
WI
Enumeration date
01/18/2007
Last updated
12/05/2012
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