Healthcare Provider Details

I. General information

NPI: 1366351264
Provider Name (Legal Business Name): DOROTHY GOTLIB, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E LIBERTY ST STE 360
ANN ARBOR MI
48104-2174
US

IV. Provider business mailing address

120 E LIBERTY ST STE 360
ANN ARBOR MI
48104-2174
US

V. Phone/Fax

Practice location:
  • Phone: 734-821-3226
  • Fax: 734-293-0336
Mailing address:
  • Phone: 734-821-3226
  • Fax: 734-293-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DOROTHY GOTLIB
Title or Position: PRINCIPAL
Credential: MD
Phone: 734-821-3226