Rocelious Goodson III, PA-C
Physician Assistant, Medical in Pontiac, MI. Individual provider (NPI-1).
NPI number1992863872
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1992863872
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rocelious Goodson III
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Nov 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601004396 | MI | Yes |
Practice location
Trinity Health Iha Medical Group, Hepatobiliary & Pancr44555 Woodward Ave Ste 507
Pontiac, MI 48341
Phone 248-287-7820 · Fax 248-287-7821
Mailing address
24 Frank Lloyd Wright DrSuite J2000
Ann Arbor, MI 48105
Phone 734-747-6766 · Fax 734-222-3100
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