Individual
MICHAEL L. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 E 3900 S, # B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Mailing address
1151 E 3900 S, # B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
156786 1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04946
—
UT
Enumeration date
07/08/2005
Last updated
07/08/2007
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