| John T. Golden, M.d. | |
|
25990 Kelly Rd Suite 4 Roseville MI 48066-4483 | |
| (586) 776-0808 | |
| (586) 771-0953 |
| Full Name | John T. Golden, M.d. |
|---|---|
| Speciality | General Practice |
| Location | 25990 Kelly Rd, Roseville, Michigan |
| Authorized Official Name and Position | John Theodore Golden (OWNER) |
| Authorized Official Contact | 5867760808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T. Golden, M.d. 25990 Kelly Rd Suite 4 Roseville MI 48066-4483 Ph: (586) 776-0808 | John T. Golden, M.d. 25990 Kelly Rd Suite 4 Roseville MI 48066-4483 Ph: (586) 776-0808 |
| NPI Number | 1942404348 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942404348 | NPI | - | NPPES |
| 2665188 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | JG052077 (Michigan) | Primary |
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