Golusin, Millard R

Golusin, Millard R is an sole proprietor health care provider with primary practice located at 13467 23 Mile Rd , Shelby Township MI 48315-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Golusin, Millard R can be contacted via phone (248) 267-5040.

Contact Information

Primary practice address
13467 23 Mile Rd Shelby Township MI 48315-2717
Fax: (248) 267-5041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301039013 Michigan

Profile Details

NPI number 1235129768
LBN Legal business name Golusin, Millard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Jul 17th, 2013 - about 11 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 1235129768 NPPES
Michigan MEDICAID 1288220

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