Stacey M Goldfine DO PLLC
Family Medicine in Birmingham, MI. Organization (NPI-2).
NPI number1376900902
StatusActive
Last updated in NPPESFeb 22, 2016
Details
- NPI
- 1376900902
- Entity type
- Organization (NPI-2)
- Legal business name
- Stacey M Goldfine DO PLLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2016
- Last updated
- Feb 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101017551 | MI | Yes |
Practice location
750 S Old Woodward AveBirmingham, MI 48009-6600
Phone 248-792-6570
Mailing address
750 S Old Woodward AveBirmingham, MI 48009-6600
Authorized official
Stacey Goldfine
Owner
2487926570
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