Organization · NPI-2
Golan Integrated Physical Medicine
Durable Medical Equipment & Medical Supplies · Lansing, MI
NPI number1255089975
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1255089975
- Entity type
- Organization (NPI-2)
- Legal business name
- Golan Integrated Physical Medicine
- Organization subpart
- No
- Enumeration date
- Mar 11, 2022
- Certification date
- Dec 22, 2022
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
603 N Waverly Rd Ste 6Lansing, MI 48917-2800
Phone 517-321-8568
Mailing address
Po Box 561564Denver, CO 80256-1564
Phone 702-396-4993
Authorized official
David R Golan
Owner/Medical Director
7023964993
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