Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301114297 | MI |
N | 111NI0900X | Internist | 4301114297 | MI |
Y | 207RI0200X | Infectious Disease | 4301114297 | MI |
N | 207RI0200X | Infectious Disease | MD60394350 | WA |
NPI | 1033409040 |
---|---|
Provider Name | Jonathan Louis Golob |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 10/02/2020 |