| 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 |