Provider Demographics
NPI:1902842560
Name:ALPERN, GOLDIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:GOLDIE
Middle Name:ANN
Last Name:ALPERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:311 WINDYCREST DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-663-2306
Mailing Address - Fax:
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:CLINICAL LABORATORY-ST JOSEPH MERCY HOSPITAL
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-5989
Practice Address - Fax:734-712-2244
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301050149207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI414674710Medicaid
MIF24071Medicare UPIN
MIM93600006Medicare ID - Type Unspecified