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NPI Code Detail

MEDICARE: DR. CLAUDETTE T MCGOEY M.D.

MEDICARE: DR. CLAUDETTE T MCGOEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician4301043116MI

General Provider Information

NPI Number : 1669450599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAUDETTE T MCGOEY M.D.
Provider Business Mailing Address
First Line : 1239 LOCHMOOR BLVD
Second Line :
City : GROSSE POINTE WOODS
State : MI
Zip : 48236-4012
Country : US
Telephone Number : 313-886-7081
Fax Number :
Provider Business Practice Location Address
First Line : 12851 GRAND RIVER RD
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-8506
Country : US
Telephone Number : 810-225-2506
Fax Number : 810-227-1869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 07/08/2007

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