Organization
BEN GOLD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD GOLD M.D. (PRESIDENT)
(734) 434-6050
Entity
Organization
Contact information
Practice address
4870 W CLARK RD, SUITE 203, YPSILANTI, MI 48197-1104
(737) 434-6050
(734) 434-9721
Mailing address
4870 W CLARK RD, SUITE 203, YPSILANTI, MI 48197-1104
(737) 434-6050
(734) 434-9721
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
4301042344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2774487
—
MI
Enumeration date
04/11/2008
Last updated
04/11/2008
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