IndividualActive
Eustace Golladay, MD
NPI 1164524492 · Pediatric Surgery Physician · Ann Arbor, MI
Provider details
- NPI number
- 1164524492
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301066654 (MI)
Practice location
1500 East Medical Center Dr
3rd Floor Mott Hospital Rm 3970
Ann Arbor, MI 48109-0245
Phone: (734) 764-4151
Mailing address
3621 S State St
Ann Arbor, MI 48108
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.