Individual
ALAN DAVID GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB,CHB
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301043326
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301043326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357247
—
MI
Enumeration date
10/31/2006
Last updated
03/21/2012
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