Healthcare Provider Details

I. General information

NPI: 1548643562
Provider Name (Legal Business Name): ERIN GOLDMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31500 TELEGRAPH RD STE 225
BINGHAM FARMS MI
48025-4315
US

IV. Provider business mailing address

31500 TELEGRAPH RD STE 225
BINGHAM FARMS MI
48025-4315
US

V. Phone/Fax

Practice location:
  • Phone: 248-552-0620
  • Fax:
Mailing address:
  • Phone: 248-552-0620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101021953
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number5101025791
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: