Individual
DR. MITCHELL GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3354
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301083561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108226702
BCBS
MI
05
—
10-4631142
—
MI
05
—
10-4631151
—
MI
05
—
10-4631160
—
MI
05
—
10-4631189
—
MI
05
—
10-4631198
—
MI
05
—
10-4943130
—
MI
05
—
10-4943140
—
MI
05
—
10-4943159
—
MI
Enumeration date
01/05/2006
Last updated
10/17/2008
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