Individual provider · Type 1 NPI

Rocelious Goodson Iii, PA-C

Medical Physician Assistant · Dearborn, MI

NPI number 1992863872 Active

Practice location

4241 Maple St, Suite 200 D
Dearborn, MI 48126-3826

Call (313) 584-1940 Map

Fax (313) 584-1945

Mailing address

5790 Newberry Estates Dr
Westland, MI 48185-8300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004396 (MI)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1992863872

Rocelious Goodson Iii, PA-C's National Provider Identifier is 1992863872, issued on Dec 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dearborn, MI. The record was last updated on May 27, 2008.