IndividualActive
Gary Goodman, MD
NPI 1982669024 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Southfield, MI
Provider details
- NPI number
- 1982669024
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301044225 (MI)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 4301044225 (MI)
Allopathic & Osteopathic Physicians
Practice location
22250 Providence Dr Ste 606
Southfield, MI 48075-6214
Phone: (248) 443-1281
Fax: (248) 443-1411
Approximate (ZIP-level) locationGet directions
Mailing address
1030 Harrington St Ste 203
Mount Clemens, MI 48043-2967
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2019-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.