DR. M.D. Peter M Goodman, NPI 1821039173
Emergency Medical Services (Emergency Medicine) Physician in Southfield, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1821039173
NPI Entity Type Individual
Provider Name DR. M.D. Peter M Goodman
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 16001 W 9 Mile Rd, Southfield, MI, US
Provider Mailing Address Po Box 100, Royal Oak, MI, US, 480680100
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207PE0004X

Taxonomy Name Emergency Medical Services (Emergency Medicine) Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

License No. 4301029764
License State MI
Description An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Other Name

DR. M.D. Peter Goodman
Professional Name

Business Address

DR. M.D. Peter M Goodman
16001 W 9 Mile Rd

Southfield, MI, US

Phone: 248-849-3000

Mailing Address

DR. M.D. Peter M Goodman
Po Box 100
Royal Oak, MI, US
ZIP 480680100
Phone: 248-849-3137

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
103394992 MI MEDICAID 05
104274934 MI MEDICAID 05
PG029764 MI BC/BS OF MICHIGAN 01

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