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Individual

GEORGE THOMAS GOFFAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22631 GREATER MACK AVE, STE 200, SAINT CLAIR SHORES, MI 48080-2055
(586) 773-6900
(586) 773-5851
Mailing address
22631 GREATER MACK AVE, SUITE 200, SAINT CLAIR SHORES, MI 48080-2055
(586) 773-6900
(586) 773-5851

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2901014708
MI
208200000X
Plastic Surgery Physician
Primary
4301064416
MI

Other

Enumeration date
07/26/2006
Last updated
09/08/2016
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