Provider Demographics
NPI:1528445244
Name:GOYES, DANIEL J (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:GOYES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1221 PINE GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3511
Mailing Address - Country:US
Mailing Address - Phone:810-985-2614
Mailing Address - Fax:810-989-3351
Practice Address - Street 1:1221 PINE GROVE AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3511
Practice Address - Country:US
Practice Address - Phone:810-985-2614
Practice Address - Fax:810-989-3351
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2019-11-12
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Provider Licenses
StateLicense IDTaxonomies
MI43011169992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry