Individual provider · NPI-1

Dr. Brian Spencer Goosen, D.P.M.

Podiatrist, Foot & Ankle Surgery · Lansing, MI

NPI number1679652283
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679652283
Entity type
Individual (NPI-1)
Name
Dr. Brian Spencer Goosen
Credential
D.P.M.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryBG001798MIYes

Practice location

3802 W Kalamazoo St
Lansing, MI 48917-3653

Phone 517-485-7300 · Fax 517-485-7301

Mailing address

3802 W Kalamazoo St
Lansing, MI 48917-3653

Phone 517-485-7300 · Fax 517-485-7301

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