Individual
MR. BERNARD GOSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
49 ADELAIDE ST, DETROIT, MI 48201-3110
(313) 506-8827
Mailing address
49 ADELAIDE ST, DETROIT, MI 48201-3110
(313) 506-8827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704227615
MI
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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