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Contact Information

GEOFFREY GLADSTONE, MD
29201 TELEGRAPH RD
SUITE 324
SOUTHFIELD, MI48034-1331
 Phone: 248-357-5100
 Fax: 248-746-0683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GEOFFREY GLADSTONE · (Male)

NPI Number 1982634499
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 09/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301041157
  • MI Medicaid 4361207-10
Hospital affiliation(s)
  • GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK - (Acute Care)
    ONE GENESYS PARKWAY
    GRAND BLANC, MI 48439
  • ST MARY MERCY HOSPITAL - (Acute Care)
    36475 FIVE MILE ROAD
    LIVONIA, MI 48154
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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