BRIAN GOODWIN DPM PC
Suppliers at 24 Mile Rd, Shelby Township, MI

License number
Michigan 1461520001
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MRS. DEBRA L MACHIN
Title: OFFICE MANAGER
Phone: (248) 651-0008
Address
Address
4737 24 Mile Rd SUITE 2, Shelby Township, MI 48316
National Provider ID: 1720262637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN GOODWIN, D.P.M., PC

Shelby Township, MI

Registration:
Jun 24, 1986
Addresses:
4737 24 Mile Rd, Utica, MI 48316 (Physical)
Michigan (Mailing)
State ID:
259585
Business type:
Domestic Professional Service Corporation
Agent:
Brian Goodwin

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