NPI 1982669024
Gary R Goodman, MD
Practice location
- Address
- 22250 Providence Dr STE 606, Southfield, MI 48075-6214
- Phone
- (248) 443-1281
- Fax
- (248) 443-1411
- Mailing address
- 1030 Harrington St STE 203, Mount Clemens, MI 48043-2967
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1982669024
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Apr 2006
- Record last updated
- 26 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.