Gladstone, Geoffrey

Gladstone, Geoffrey is an individual health care provider with primary practice located at 29201 Telegraph Rd Suite 324, Southfield MI 48034-1331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Gladstone, Geoffrey can be contacted via phone (248) 357-5100.

Contact Information

Primary practice address
29201 Telegraph Rd Suite 324 Southfield MI 48034-1331
Phone: (248) 357-5100
Fax: (248) 746-0683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 4301041157 Michigan

Profile Details

NPI number 1982634499
LBN Legal business name Gladstone, Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982634499 NPPES
Michigan MEDICAID 4361207-10

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