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Organization

JOHN T. GOLDEN, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN THEODORE GOLDEN M.D. (OWNER)
(586) 776-0808
Entity
Organization

Contact information

Practice address
25990 KELLY RD, SUITE 4, ROSEVILLE, MI 48066-4483
(586) 776-0808
(586) 771-0953
Mailing address
25990 KELLY RD, SUITE 4, ROSEVILLE, MI 48066-4483
(586) 776-0808
(586) 771-0953

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
JG052077
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2665188
MI
Enumeration date
06/12/2007
Last updated
05/05/2008
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