Provider Demographics
NPI:1477646420
Name:GOULDING, DAWN M (MD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:GOULDING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1202 WALTON BLVD.
Mailing Address - Street 2:SUITE 216
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-656-2022
Mailing Address - Fax:248-656-4865
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-656-2022
Practice Address - Fax:248-656-4865
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072239207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4654639Medicaid
MI4654639Medicaid
H78916Medicare UPIN