Dr Gary R Goodman, MD | |
22250 Providence Dr Ste 606, Southfield, MI 48075-6214 | |
(248) 443-1281 | |
(248) 443-1411 |
Full Name | Dr Gary R Goodman |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 22250 Providence Dr Ste 606, Southfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982669024 | NPI | - | NPPES |
10 3282495 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301044225 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Gary R Goodman, MD 1030 Harrington St Ste 203, Mount Clemens, MI 48043-2967 Ph: (586) 493-9229 | Dr Gary R Goodman, MD 22250 Providence Dr Ste 606, Southfield, MI 48075-6214 Ph: (248) 443-1281 |
Zewditu Elsabet Asfaw, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd Fl 3, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 |