Individual
DR. JAN MICHAEL GOLDBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10420 SWAN CREEK RD, SAGINAW, MI 48609-9117
(989) 781-2381
(989) 781-5118
Mailing address
10420 SWAN CREEK RD, SAGINAW, MI 48609-9117
(989) 781-2381
(989) 781-5118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E660190
BCBS
MI
01
—
010Z911030
BLUE CROSS BLUE SHIELD
MI
01
—
010Z960170
BLUE CROSS BLUE SHIELD
MI
01
—
0E66019
MEDICARE GROUP
MI
01
—
0Z96017
MEDICARE PTAN
MI
01
—
102453
GOOD HEALTH MICHIGAN
MI
05
—
1954041
—
MI
05
—
5176043
—
MI
05
—
5189266
—
MI
05
—
5189275
—
MI
01
—
60737A
HEALTH ALLIANCE PLAN
MI
01
—
AF09001
MCARE
MI
01
—
JG007063
BCBS
MI
01
—
QMP000003387413
MOLINA HEALTH CARE
MI
Enumeration date
12/27/2006
Last updated
08/15/2012
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