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Individual

MR. CONRAD GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CCC-SLP

Contact information

Practice address
1500 SPRING STREET, PETOSKEY, MI 49770-3125
(231) 347-1678
Mailing address
1004 WAUKAZOO AVE, PETOSKEY, MI 49770-3125
(231) 348-9148

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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