| J. Richard Goulet,m.d., P.c. | |
|
2345 S Huron Pkwy Ann Arbor MI 48104-5124 | |
| (734) 677-3991 | |
| (734) 973-0518 |
| Full Name | J. Richard Goulet,m.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2345 S Huron Pkwy, Ann Arbor, Michigan |
| Authorized Official Name and Position | J. Richard Goulet (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7346773991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Richard Goulet,m.d., P.c. 2345 S Huron Pkwy Ann Arbor MI 48104-5124 Ph: (734) 677-3991 | J. Richard Goulet,m.d., P.c. 2345 S Huron Pkwy Ann Arbor MI 48104-5124 Ph: (734) 677-3991 |
| NPI Number | 1265680003 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Medicare PECOS PAC ID | 8426117169 |
|---|---|
| Medicare Enrollment ID | O20081110000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265680003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301025266 (Michigan) | Primary |
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Dennis K Chernin Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 S Huron Pkwy, Ann Arbor, MI 48104 Phone: 734-973-3030 Fax: 734-973-3057 | |
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